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Mr. Andrew Kirby Gustavson, PA-C

Physician Assistant in Waxhaw, NC · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306571302

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Registry record

Entity type Individual (Type 1)
Name Mr. Andrew Kirby Gustavson
Credential PA-C
Sex Male
Practice address 3614 Providence Rd S Ste 200, Waxhaw, NC, 28173
Phone (704) 384-8640
Fax (704) 384-8650
Enumeration date Jul 22, 2022
Last updated in NPPES Dec 28, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0010-12435 (NC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Andrew Gustavson?
Andrew Gustavson is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-12-28.