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GARY GLENN NICHOLS P.A.
NPI 1316936156
Physician Assistant - Medical in North Wilkesboro, NC

Active since October 14, 2005PECOS Enrolled
1404 WILLOW LN, NORTH WILKESBORO, NC 28659(336) 667-0335(336) 667-4434 Get Directions Write a Review

NPPES record last updated: August 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2017, Apr 11, 2017 (2 updates tracked since 2017).

About Gary Glenn Nichols P.a. NPPES

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

GARY GLENN NICHOLS P.A. (NPI 1316936156) is an individual medical provider in North Wilkesboro, North Carolina, licensed in North Carolina (100253) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316936156
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGARY GLENN NICHOLSCredential: P.A.
Location Address1404 WILLOW LNNorth Wilkesboro, NC 28659-3584
Mailing AddressPo Box 602658Charlotte, NC 28260-2658 · (336) 716-2011
Phone(336) 667-0335
Fax(336) 667-4434
Sole ProprietorNo
Enumeration DateOctober 14, 2005
Last NPPES UpdateAugust 1, 20172 updates tracked since enumeration
✔ NPI 1316936156 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 NC · 100253
1404 WILLOW LN, North Wilkesboro, NC 28659
Open in Google Maps ↗

Other Identifiers 6

Medicare PIN2750028NC
Other203994FNC · Medicare Group
Other2750028CNC · Medicare Ptan, Individual
Medicare UPINS70598
Medicaid5905127NE
Other2335816NC · Medicare Ptan, Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Glenn Nichols P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
248 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services15 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
27 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services13 patients

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims42 services$6.92 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers12 claims12 services$67.68 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims73 services$2.85 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier30 claims30 services$910.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

GREENWAY HEALTHCARE, PLLC
Internal Medicine
1404 WILLOW LN
N WILKESBORO, NC 28659
Wilkes County (336) 667-0335
DR. MICHELLE LISA REDMAN MD
Internal Medicine
1404 WILLOW LN, GREENWAY HEALTHCARE
NORTH WILKESBORO, NC 28659
Wilkes County (336) 667-0335
WILKES PHYSICIAN NETWORK, INC.
Internal Medicine (Gastroenterology)
1404 WILLOW LN, WILKES REGIONAL GASTROENTEROLOGY
NORTH WILKESBORO, NC 28659
Wilkes County (336) 651-3603
WILKES PHYSICIAN NETWORK, INC.
Internal Medicine
1404 WILLOW LN, GREENWAY HEALTHCARE
NORTH WILKESBORO, NC 28659
Wilkes County (336) 667-0335
DR. JOSE R CARRASQUILLO MD
Internal Medicine (Gastroenterology)
1404 WILLOW LN, SUITE B
NORTH WILKESBORO, NC 28659
Wilkes County (336) 903-7845
ADEMOLA OLUBUSOLA ADEROJU M.D.
Internal Medicine (Gastroenterology)
1404 WILLOW LN, SUITE B
NORTH WILKESBORO, NC 28659
Wilkes County (336) 903-6820
KENNETH F CURL
Internal Medicine
1404 WILLOW LN
N WILKESBORO, NC 28659
Wilkes County (336) 667-0335

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 Nichols's NPI number?

The NPI number for Gary Nichols is 1316936156. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Gary Nichols located?

Gary Nichols practices at 1404 Willow Ln, North Wilkesboro, NC 28659. The listed phone number is (336) 667-0335.

What is Gary Nichols's specialty?

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

Is Gary Nichols enrolled in Medicare?

Yes. Gary Nichols is registered in the Medicare PECOS enrollment system.

What insurance does Gary Nichols accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next list Gary Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary Nichols was last updated on August 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.