Individual provider · Type 1 NPI

Olivia Sue Gornichec, PA-C

Physician Assistant · Rocky Mount, NC

NPI number 1104793108 Active

Practice location

921 N Winstead Ave
Rocky Mount, NC 27804-8749

Call (252) 937-0300 Map

Fax (252) 937-3108

Mailing address

PO Box 7200
Rocky Mount, NC 27804-0200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-16834 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104793108

Olivia Sue Gornichec, PA-C's National Provider Identifier is 1104793108, issued on Oct 22, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rocky Mount, NC. The record was last updated on Aug 27, 2026.