Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Eugenio De Jesus Gonzalez, PAC

Individual provider Medical Physician Assistant · NPI 1972522779

Mr. Eugenio De Jesus Gonzalez, PAC is a Physician Assistant in Wilmington, North Carolina. Qualified in 2003, 23 years ago. Practices with Fastmed PC, a 176-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

4402 Shipyard Blvd
Wilmington, NC 28403-6161
Phone: (910) 452-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103739 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence NC103739 (NC)

Record details

NPI number1972522779
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Fastmed Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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