Individual provider Active NPI

Gillian Higgins Elshanawany, PA-C

  • Physician Assistant
  • Fuquay Varina, NC
National Provider Identifier
1871304758
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14977 Issued in NC
Practice address
1006 Procure St Ste 100
Fuquay Varina, NC 27526-2627
Phone
(919) 762-6845
Fax
(919) 762-6865
NPI assigned
Jan 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14977 NC Primary

Addresses

Primary practice location

1006 Procure St Ste 100
Fuquay Varina, NC 27526-2627

Mailing address

1006 Procure St Ste 100
Fuquay Varina, NC 27526-2627
Phone (919) 762-6845

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250409000719 NC Practitioner - Physician Assistant 1759805906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Skin Center PLLCGroup PAC ID 3375082126, 2 clinicians

Practice addresses (Care Compare)

1006 Procure St
Suite 100
Fuquay Varina, NC 27526-2627
Phone (919) 762-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Past Accepting new patients
Wake Emergency Physicians PA PastSince Jan 1, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1871304758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 PROCURE ST STE 100",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262627",
            "telephone_number": "919-762-6845",
            "fax_number": "919-762-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 PROCURE ST STE 100",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262627",
            "telephone_number": "919-762-6845",
            "fax_number": "919-762-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHANAWANY",
        "first_name": "GILLIAN",
        "middle_name": "HIGGINS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.