Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan McKenzie Gantous, PA-C

Individual provider Physician Assistant · NPI 1831985175

Jordan McKenzie Gantous, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2024, 2 years ago. Practices with Queen City Ear Nose and Throat PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3403 Steel Yard Ct
Charlotte, NC 28205-1262
Phone: (330) 241-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15178 (NC)

Record details

NPI number1831985175
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Queen City Ear Nose And Throat Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Queen City Ear Nose and Throat PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Charlotte