JOHN ROBERT GANZ M.D.
NPI 1962841700
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mount Pleasant, SC

Active since June 14, 2013Opted out of Medicare · through Feb 26, 2027
1671 BELLE ISLE AVE STE 110, MOUNT PLEASANT, SC 29464(843) 284-6165(843) 790-1820 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Jun 12, 2018, May 16, 2016 (3 updates tracked since 2016).

About John Robert Ganz M.d. NPPES

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

JOHN ROBERT GANZ M.D. (NPI 1962841700) is an individual child & adolescent psychiatry provider in Mount Pleasant, South Carolina, licensed in South Carolina (35866) and active in the NPI registry since June 2013. He has opted out of Medicare through February 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962841700
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJOHN ROBERT GANZCredential: M.D.
Location Address1671 BELLE ISLE AVE STE 110Mount Pleasant, SC 29464-8336
Mailing Address636 Long Point Rd Unit G132Mount Pleasant, SC 29464-8286 · (843) 284-6165 · Fax (843) 790-1820
Fax(843) 790-1820
Sole ProprietorYes
Enumeration DateJune 14, 2013
Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1962841700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in SC · 35866
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 35866 (SC), MD35866 (SC)
1671 BELLE ISLE AVE STE 110, Mount Pleasant, SC 29464

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

John Robert Ganz M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 26, 2019 through February 26, 2027.

Opt-Out Effective DateFebruary 26, 2019
Opt-Out In Effect ThroughFebruary 26, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 John Ganz's NPI number?

The NPI number for John Ganz is 1962841700. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is John Ganz located?

John Ganz practices at 1671 Belle Isle Ave Ste 110, Mount Pleasant, SC 29464. The listed phone number is (843) 284-6165.

What is John Ganz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is John Ganz enrolled in Medicare?

No. John Ganz has opted out of Medicare through February 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Ganz was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.