Active NPI
Valleygate Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Garner, NC
National Provider Identifier
1073497871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- VALLEYGATE SURGERY CENTER LLC
- Practice address
- 305 Timber Drive
Garner, NC 27529 - Phone
- (919) 276-0900
- NPI assigned
- Aug 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Kennerson
- Title
- Director of Strategic Development
- Phone
- (337) 356-7044
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Pediatric Anesthesiology Physician | 207LP3000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
305 Timber Drive
Garner, NC 27529
Mailing address
305 Timber Drive
Garner, NC 27529
Phone (919) 276-0900
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2328045 | Valleygate Surgery Center of Garner, LLC | Certificate of waiver | Aug 3, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1073497871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 TIMBER DRIVE",
"city": "GARNER",
"state": "NC",
"postal_code": "27529",
"telephone_number": "919-276-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 TIMBER DRIVE",
"city": "GARNER",
"state": "NC",
"postal_code": "27529",
"telephone_number": "919-276-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEYGATE SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-04",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "KENNERSON",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "DIRECTOR OF STRATEGIC DEVELOPMENT",
"authorized_official_telephone_number": "337-356-7044"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.