Scott Christopher Ganucheau, MSPAS, PA-C, ATC
Scott Christopher Ganucheau, MSPAS, PA-C, ATC is a Physician Assistant in Shallotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.
- Years since qualifying
- 5
- Licensed in
- NC, SC
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
5145 Sellers RdShallotte, NC 28470-3405
Phone: (910) 754-4441
Fax: (910) 754-5307
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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 0010-12026 (NC) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 661 (SC) |
| Physician Assistant | Taxonomy 363A00000X (NC) |
Record details
| NPI number | 1215344619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MSPAS , PA-C , ATC |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2014 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 16, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Novant Health Medical Group, Llc — 2410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Shallotte
-
Katherine Hang Nguyen
826 Usher Ave, Shallotte, NC 28470-5391 · (910) 269-9363
-
Kelli Brewer Sabiston, MA, ATC, LAT
19 Fairway Dr, Shallotte, NC 28470-4422 · (910) 755-3334