Organization Active NPI

Valleygate Surgery Center Orlando LLC

  • Ambulatory Surgical Clinic/Center
  • Orlando, FL
National Provider Identifier
1164381216
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VALLEYGATE SURGERY CENTER ORLANDO LLC
Practice address
1405 S Orange Ave
Orlando, FL 32806-2154
Phone
(910) 485-7070
NPI assigned
Jan 15, 2026
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erica Kennerson
Title
Strategic Development
Phone
(910) 485-7070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Anesthesiology Physician 207L00000X

Addresses

Primary practice location

1405 S Orange Ave
Orlando, FL 32806-2154

Mailing address

2028 Litho PL
Fayetteville, NC 28304-2537

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1164381216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 LITHO PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062154",
            "telephone_number": "910-485-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYGATE SURGERY CENTER ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "KENNERSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "STRATEGIC DEVELOPMENT",
        "authorized_official_telephone_number": "910-485-7070"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.