JERRY SWINDELL GANUS JR.
NPI 1972396463
Peer Specialist in Raeford, NC

Active since May 27, 2025
402 HARRIS AVE, RAEFORD, NC 28376(910) 875-5590(910) 875-5008 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Swindell Ganus Jr. NPPES

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

JERRY SWINDELL GANUS JR. (NPI 1972396463) is an individual peer specialist in Raeford, North Carolina, licensed in North Carolina (2024-9570-01) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1972396463
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJERRY SWINDELL GANUS JR.
Location Address402 HARRIS AVERaeford, NC 28376-3112
Mailing Address690 Wiltshire RdFayetteville, NC 28314-0743 · (704) 219-4483
Fax(910) 875-5008
Sole ProprietorYes
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
NPI 1972396463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in NC · 2024-9570-01
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
402 HARRIS AVE, Raeford, NC 28376

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
402 HARRIS AVE
RAEFORD, NC 28376
Social Worker (Clinical)
402 HARRIS AVE
RAEFORD, NC 28376
Social Worker (Clinical)
402 HARRIS AVE
RAEFORD, NC 28376
Counselor (Mental Health)
402 HARRIS AVE
RAEFORD, NC 28376
Community/Behavioral Health
402 HARRIS AVE
RAEFORD, NC 28376
Social Worker (Clinical)
402 HARRIS AVE
RAEFORD, NC 28376
Social Worker (Clinical)
402 HARRIS AVE
RAEFORD, NC 28376
Counselor (Mental Health)
402 HARRIS AVE
RAEFORD, NC 28376

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 Jerry Ganus's NPI number?

The NPI number for Jerry Ganus is 1972396463. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Jerry Ganus located?

Jerry Ganus practices at 402 Harris Ave, Raeford, NC 28376. The listed phone number is (910) 875-5590.

What is Jerry Ganus's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jerry Ganus was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.