Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Willis Tyler Nichols, MD

Individual provider Surgery Physician · NPI 1063722684

Dr. Willis Tyler Nichols, MD is a General Surgery in Foley, Alabama. Graduated from University of Alabama School of Medicine in 2010, 16 years ago. Practices with Foley Clinic Corp, a 87-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
16
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1711 N McKenzie St Ste 201
Foley, AL 36535-2282
Phone: (251) 424-1620
Fax: (251) 952-6620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 34161 (AL)

Record details

NPI number1063722684
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 15, 2010
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Foley Clinic Corp. — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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