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GATEWAY MEDICAL LLC
NPI 1649647884
Family Medicine in Lexington, SC

Active since August 24, 2015CLIA 42D2193711 · Waiver
171B MONROE LN, LEXINGTON, SC 29072(803) 358-8496(866) 614-3887 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 15, 2021, Feb 19, 2020, Dec 9, 2019 and 1 more (4 updates tracked since 2019).

About Gateway Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GATEWAY MEDICAL LLC (NPI 1649647884) is a healthcare organization registered as a family medicine in Lexington, South Carolina and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through September 23, 2028 and lists Christina M Jeffcoat, Coo/exec Vp, as its authorized official.

NPPES Registry Identity

NPI1649647884
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGATEWAY MEDICAL LLC
Location Address171B MONROE LNLexington, SC 29072-3904
Mailing AddressPo Box 2169Lexington, SC 29071-2169 · (803) 358-6762 · Fax (803) 358-1708
Phone(803) 358-8496
Fax(866) 614-3887
Organization SubpartNo
Authorized OfficialChristina M JeffcoatCoo/exec Vp · (803) 957-0500
Enumeration DateAugust 24, 2015
Last NPPES UpdateJuly 24, 20254 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1649647884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
171B MONROE LN, Lexington, SC 29072
Open in Google Maps ↗

Other Identifiers 1

MedicaidGP7520SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gateway Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Gateway Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Angela Thomas, FNP-C, AGACNP-BC
Nurse Practitioner
NPI 1053834705
171 MONROE LN
Lexington, SC 29072
(803) 358-8496
✔ PECOS✔ Accepts MedicareSame address
Julie Clarke, FNP-C
Nurse Practitioner
NPI 1912414384
PO BOX 2169
Lexington, SC 29071
(803) 358-8496
✔ PECOS✔ Accepts Medicare5.1 mi
Mary Fredrick, APRN
Nurse Practitioner
NPI 1376084970
731 POLO ROAD
Columbia, SC 29223
(800) 491-0909
✔ PECOS✔ Accepts Medicare19 mi
John Short, DO
General Practice
NPI 1235176520
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4780
✔ PECOS✔ Accepts Medicare57 mi
Brandi Harper, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1124796743
1300 TIGER BLVD
Clemson, SC 29631
(864) 653-6724
✔ PECOS✔ Accepts Medicare105 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2193711

Gateway Medical, LLC · Lexington, SC
Active · expires Sep 23, 2028
CLIA Number42D2193711
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 24, 2026
Certificate Expiration DateSeptember 23, 2028
Laboratory DirectorMs. Jessica Coleman
Laboratory Phone(803) 358-8496
Laboratory LocationGateway Medical, LLC171B Monroe Lane, Lexington, SC 29072
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gateway Medical LLC's NPI number?

The NPI number for Gateway Medical LLC is 1649647884. It was assigned to this organization in the NPPES registry on August 24, 2015.

Where is Gateway Medical LLC located?

Gateway Medical LLC is located at 171B Monroe Ln, Lexington, SC 29072. The listed phone number is (803) 358-8496.

What is Gateway Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gateway Medical LLC enrolled in Medicare?

Yes. Gateway Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gateway Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Gateway Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and General Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gateway Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2193711) is associated with this NPI, valid through September 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gateway Medical LLC accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Gateway Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gateway Medical LLC was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.