OrganizationActive
Niceville General Surgery LLC
NPI 1316017775 · Surgery Physician · Niceville, FL
Provider details
- NPI number
- 1316017775
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mickey Pickler, Vp(850) 678-1154
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1001 College Blvd W
Suite B-1
Niceville, FL 32578-1099
Phone: (850) 678-1154
Fax: (850) 678-1458
Street-level locationGet directions
Mailing address
1001 College Blvd W
Niceville, FL 32578-1099
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2007-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.