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

Selby Gage Rouch, PA-C

Individual provider Physician Assistant · NPI 1376005942

Selby Gage Rouch, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2019, 7 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
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

1400 Westgate Center Dr Ste 130
Winston Salem, NC 27103-3104
Phone: (336) 718-7500
Fax: (336) 659-8704
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09011 (NC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1376005942
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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