Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gannon Neil Millsaps, PA-S

Individual provider Physician Assistant · NPI 1023845054

Mr. Gannon Neil Millsaps, PA-S is a Physician Assistant in Huntersville, North Carolina. Graduated from Wake Forest University School of Medicine in 2025, 1 year ago. Practices with Metrolina Nephrology Associates PA, a 86-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2024
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Practice location Address checks out

9800 Kincey Ave Ste 150
Huntersville, NC 28078-8405
Phone: (704) 799-4909
Fax: (704) 799-7695
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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 0010-15866 (NC)

Record details

NPI number1023845054
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedSeptember 14, 2024
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Metrolina Nephrology Associates Pa — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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