Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. GARY DALE NICHOLS P.A.-C
NPI 1437140357
Physician Assistant in Fort Leonard Wood, MO

Active since October 31, 2005
16TH STREET, CTMC, BLDG 885, FORT LEONARD WOOD, MO 65473(573) 596-1680(573) 596-0423 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Gary Dale Nichols P.a.-c NPPES

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

MR. GARY DALE NICHOLS P.A.-C (NPI 1437140357) is an individual physician assistant in Fort Leonard Wood, Missouri, licensed in Texas (PA02338) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1437140357
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. GARY DALE NICHOLSCredential: P.A.-C
Location Address16TH STREET, CTMC, BLDG 885Fort Leonard Wood, MO 65473
Mailing Address191 Private Road 845Teague, TX 75860-6081 · (254) 625-0310
Fax(573) 596-0423
Sole ProprietorNo
Enumeration DateOctober 31, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1437140357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA02338
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
16TH STREET, Fort Leonard Wood, MO 65473

Other Identifiers 1

OtherPA02338TX · State License/permit

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 1437140357. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Gary Nichols located?

Gary Nichols practices at 16th Street Ctmc, Bldg 885, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-1680.

What is Gary Nichols's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Gary Nichols was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.