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

Mr. Nicholas Lee Willard, PA-C

Individual provider Physician Assistant · NPI 1861065740

Mr. Nicholas Lee Willard, PA-C is a Physician Assistant in Dothan, Alabama. Qualified in 2022, 4 years ago. Practices with Houston County Healthcare Authority, a 258-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Medical Care Way
Dothan, AL 36303-7013
Phone: (334) 305-2800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1861065740
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 20, 2021
Last updated in NPPESNovember 13, 2022
Certification dateNovember 13, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Houston County Healthcare Authority — 258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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