Jordan McKenzie Gantous, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-15178 Issued in NC

Practice address

3403 Steel Yard CT
Charlotte, NC 28205-1262

Phone

(330) 241-8118

NPI assigned

Apr 15, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Queen City Ear Nose and Throat PLLCGroup PAC ID 0941531487, 7 clinicians

Forsyth Medical Group, LLCGroup PAC ID 3678478054, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgantous2807379@carolinashealthcaresystem.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forsyth Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Hendersonville, NC
  • NPI 1750081378
  Medicare reassignment Care Compare group
• Queen City Ear Nose and Throat PLLC

  • Otolaryngology Physician
  • Charlotte, NC
  • NPI 1174183156
  Medicare reassignment Care Compare group
• Forsyth Medical Group LLC

  • Otolaryngology Physician
  • Monroe, NC
  • NPI 1710866405
  NPD
• Forsyth Medical Group, LLC

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1851188569
  NPD
• Forsyth Memorial Hospital Inc

  • Cardiovascular Disease Physician
  • Winston Salem, NC
  • NPI 1114200771
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carolinas Medical Center

  • Psychiatric Hospital Unit
  • Charlotte, NC
  • NPI 1053358945
  Care Compare affiliation
• Carolinas Medical Center

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1295789907
  Care Compare affiliation
• Carolinas Medical Center

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1376985135
  Care Compare affiliation
• Carolinas Medical Center

  • Children's Rehabilitation Hospital
  • Charlotte, NC
  • NPI 1699829887
  Care Compare affiliation
• Carolinas Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Charlotte, NC
  • NPI 1720029705

  Hospital

  Care Compare affiliation
• Carolinas Medical Center

  • Clinical Medical Laboratory
  • Charlotte, NC
  • NPI 1811005150

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1831985175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 STEEL YARD CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 STEEL YARD CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051262",
            "telephone_number": "330-241-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTOUS",
        "first_name": "JORDAN",
        "middle_name": "MCKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Claire Gannon, P.T.
• Demetrio Anquain Gant, PA
• Michelle Gant
• Abhishek Ganta, MD
• Tasha Ganthier, LCSW
• Gantt Psychotherapeutic and Consultation Services
• Gantt Youth and Family Services LLC
• Erika Gordon Gantt, MD
• Lakshmi Ganugapenta, FNP
• Safiyya Ganzie

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.