OrganizationActive
Gateway Surgical Group LLC
NPI 1104868413 · Surgery Physician · Lake City, FL
Gateway Surgical Group LLC is a Surgery Physician organization in Lake City, FL (NPI 1104868413).
Provider details
- NPI number
- 1104868413
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mickey Pickler, Vp(386) 755-6682
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3140 Nw Medical Center Ln
Suite 120
Lake City, FL 32055-4717
Phone: (386) 755-6682
Fax: (386) 755-6796
Street-level locationGet directions
Mailing address
3140 Nw Medical Center Ln
Lake City, FL 32055-4717
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2008-01-14
Frequently asked questions
- What is Gateway Surgical Group LLC's NPI number?
- Gateway Surgical Group LLC's National Provider Identifier (NPI) is 1104868413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gateway Surgical Group LLC?
- Gateway Surgical Group LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Gateway Surgical Group LLC located?
- Gateway Surgical Group LLC's practice location on file with NPPES is 3140 Nw Medical Center Ln, Lake City, FL 32055-4717.
- What is Gateway Surgical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Gateway Surgical Group LLC is (386) 755-6682.
- Who is the authorized official for Gateway Surgical Group LLC?
- The authorized official listed on Gateway Surgical Group LLC's NPPES record is Mickey Pickler, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gateway Surgical Group LLC's NPI active?
- Yes — Gateway Surgical Group LLC's NPI (1104868413) is active in the NPPES registry as of the last update on 2008-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.