JORDAN MCKENZIE GANTOUS PA-C
NPI 1831985175
Physician Assistant in Charlotte, NC

Active since April 15, 2025PECOS EnrolledAccepts Medicare Assignment
3403 STEEL YARD CT, CHARLOTTE, NC 28205(330) 241-8118 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Mckenzie Gantous Pa-c NPPES

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

JORDAN MCKENZIE GANTOUS PA-C (NPI 1831985175) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-15178) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831985175
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN MCKENZIE GANTOUSCredential: PA-C
Location Address3403 STEEL YARD CTCharlotte, NC 28205-1262
Mailing Address3403 Steel Yard CtCharlotte, NC 28205-1262
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
NPI 1831985175 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 · 0010-15178
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.
3403 STEEL YARD CT, Charlotte, NC 28205

Accepted Insurance

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

Jordan Mckenzie Gantous Pa-c 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 ID3274045679
PECOS Enrollment IDI20250623001272
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

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

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 28205 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.

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 Jordan Gantous's NPI number?

The NPI number for Jordan Gantous is 1831985175. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Jordan Gantous located?

Jordan Gantous practices at 3403 Steel Yard Ct, Charlotte, NC 28205. The listed phone number is (330) 241-8118.

What is Jordan Gantous's specialty?

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

Is Jordan Gantous enrolled in Medicare?

Yes. Jordan Gantous is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Gantous accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jordan Gantous as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jordan Gantous affiliated with any hospitals?

According to CMS data, Jordan Gantous is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Jordan Gantous was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.