MR. GANNON NEIL MILLSAPS PA-S
NPI 1023845054
Physician Assistant in Huntersville, NC

Q: What is Gannon Millsaps's NPI number?

The NPI number for Gannon Millsaps is 1023845054. It was assigned to this individual provider in the NPPES registry on September 14, 2024.

Q: What is Gannon Millsaps's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Gannon Millsaps was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2024PECOS EnrolledAccepts Medicare Assignment

9800 KINCEY AVE STE 150, HUNTERSVILLE, NC 28078(704) 799-4909(704) 799-7695 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2026, Oct 8, 2025, Sep 14, 2024 (3 updates tracked since 2024).

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About Mr. Gannon Neil Millsaps Pa-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GANNON NEIL MILLSAPS PA-S (NPI 1023845054) is an individual physician assistant in Huntersville, North Carolina, licensed in North Carolina (0010-15866) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Wake Forest University School Of Medicine (2025).

NPPES Registry Identity

NPI1023845054

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. GANNON NEIL MILLSAPSCredential: PA-S

Location Address9800 KINCEY AVE STE 150Huntersville, NC 28078-8405

Mailing Address3158 Freedom Dr Ste 3102Charlotte, NC 28208-0014 · (704) 971-7099 · Fax (704) 971-0035

Phone(704) 799-4909

Fax(704) 799-7695

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2025

Enumeration DateSeptember 14, 2024

Last NPPES UpdateJanuary 2, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1023845054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-15866

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9800 KINCEY AVE STE 150, Huntersville, NC 28078

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gannon Neil Millsaps Pa-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153812235

PECOS Enrollment IDI20251117002658

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340001

Location920 Church St NConcord, NC 28025 · Cabarrus County

Emergency services Birthing friendly

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340015

Location612 Mocksville AveSalisbury, NC 28144 · Rowan County

Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY ELAINE WILKES DNP FNP-C

Nurse Practitioner