Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLIVIA SUE GORNICHEC PA-C
NPI 1104793108
Physician Assistant in Rocky Mount, NC

Active since October 22, 2025PECOS Enrolled
921 N WINSTEAD AVE, ROCKY MOUNT, NC 27804(252) 937-0300(252) 937-3108 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Olivia Sue Gornichec Pa-c NPPES

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

OLIVIA SUE GORNICHEC PA-C (NPI 1104793108) is an individual physician assistant in Rocky Mount, North Carolina, licensed in North Carolina (0010-16834) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104793108
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameOLIVIA SUE GORNICHECCredential: PA-C
Location Address921 N WINSTEAD AVERocky Mount, NC 27804-8749
Mailing AddressPo Box 7200Rocky Mount, NC 27804-0200 · (252) 937-0200 · Fax (252) 451-0056
Fax(252) 937-3108
Sole ProprietorNo
Enumeration DateOctober 22, 2025
Last NPPES UpdateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1104793108 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 · 0010-16834
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.
921 N WINSTEAD AVE, Rocky Mount, NC 27804

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Sue Gornichec Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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 9

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

Physician Assistant (Medical)
921 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Internal Medicine
921 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Nurse Practitioner (Family)
921 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Nurse Practitioner (Gerontology)
921 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Family Medicine
921 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Family Medicine
921 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Nurse Practitioner (Family)
921 N WINSTEAD AVE
ROCKY MOUNT, NC 27804
Nurse Practitioner (Family)
921 N WINSTEAD AVE
ROCKY MOUNT, NC 27804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Gornichec's NPI number?

The NPI number for Olivia Gornichec is 1104793108. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Olivia Gornichec located?

Olivia Gornichec practices at 921 N Winstead Ave, Rocky Mount, NC 27804. The listed phone number is (252) 937-0300.

What is Olivia Gornichec's specialty?

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

Is Olivia Gornichec enrolled in Medicare?

Yes. Olivia Gornichec is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Gornichec was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.