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

Nicholas John Thibault, PA-C

Individual provider Medical Physician Assistant · NPI 1043612070

Nicholas John Thibault, PA-C is a Medical Physician Assistant in Sneads Ferry, North Carolina. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

141 Regatta Way
Sneads Ferry, NC 28460-6100
Phone: (219) 689-8493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (CA)

Record details

NPI number1043612070
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2014
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025