GARY LYNN MANLEY PA-C
NPI 1164749693
Physician Assistant - Medical in Las Vegas, NV

Q: What is Gary Manley's NPI number?

The NPI number for Gary Manley is 1164749693. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Q: What is Gary Manley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Gary Manley was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2010

3910 PECOS MCLEOD STE D100, LAS VEGAS, NV 89121(702) 629-7577 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 7, 2020, Mar 18, 2016 (2 updates tracked since 2016).

On this page

About Gary Lynn Manley Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY LYNN MANLEY PA-C (NPI 1164749693) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA1209) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1164749693

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameGARY LYNN MANLEYCredential: PA-C

Location Address3910 PECOS MCLEOD STE D100Las Vegas, NV 89121-7445

Mailing Address3910 Pecos Mcleod Ste D100Las Vegas, NV 89121-7445 · (702) 629-7577 · Fax (702) 933-1490

Phone(702) 629-7577

Sole ProprietorNo

Enumeration DateApril 23, 2010

Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration

NPPES CertifiedOctober 7, 2020

✔ NPI 1164749693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NV · PA1209

3910 PECOS MCLEOD STE D100, Las Vegas, NV 89121

Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TAMMY TIA DENISE BURKE FNP-C

Nurse Practitioner (Family)

3910 PECOS MCLEOD STE D100
LAS VEGAS, NV 89121

Clark County (702) 629-7577

WESTERN STATE PAIN INSTITUTE

Clinic/Center (Pain)

3910 PECOS MCLEOD STE D100
LAS VEGAS, NV 89121

Clark County (702) 629-7575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Manley's NPI number?

The NPI number for Gary Manley is 1164749693. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Gary Manley located?

Gary Manley practices at 3910 Pecos Mcleod Ste D100, Las Vegas, NV 89121. The listed phone number is (702) 629-7577.

What is Gary Manley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gary Manley was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.