ST LUCIE GENERAL SURGERY LLC
NPI 1922180249
Surgery in Port St Lucie, FL

NPI Status: Active since October 19, 2006

Contact Information

1700 SE HILLMOOR DR
SUITE 503
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 335-7606

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  • Organization
  • Surgery
  • CLIA Number: 10D2005609
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 03-30-2026

About ST LUCIE GENERAL SURGERY LLC

This page provides the complete NPI Profile along with additional information for St Lucie General Surgery Llc, a provider established in Port St Lucie, Florida operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1922180249 assigned on October 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mickey Pickler (Vp)

NPI
1922180249
Provider Name
ST LUCIE GENERAL SURGERY LLC
Entity Type
Organization
Location Address
1700 SE HILLMOOR DR SUITE 503 PORT ST LUCIE, FL 34952
Location Phone
(772) 335-7606
Mailing Address
1700 SE HILLMOOR DR SUITE 503 PORT ST LUCIE, FL 34952
Mailing Phone
(772) 335-7606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-19-2006
Last Update Date
08-27-2007
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A surgeon like St Lucie General Surgery Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICKEY PICKLER

Authorized Official Title
VP
Authorized Official Phone
(772) 335-7606

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2005609
Facility Type
Practitioner Other
Certificate Effective Date
March 31, 2024
Certificate Expiration Date
March 30, 2026
Laboratory Director
BERJAN COLLIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Lucie General Surgery Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922180249, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 2 + 8 + 0 + 2 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1922180249.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1700 SE HILLMOOR DR, SUITE 500
PORT ST LUCIE, FL 34952
Dietitian, Registered
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952
Technician/Technologist (Optician)
1700 SE HILLMOOR DR, SUITE 100
PORT ST LUCIE, FL 34952
Registered Nurse (Registered Nurse First Assistant)
1700 SE HILLMOOR DR
PORT ST LUCIE, FL 34952
Physical Medicine & Rehabilitation
1700 SE HILLMOOR DR
PORT ST LUCIE, FL 34952
Dietitian, Registered
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952
Nurse Practitioner
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952
Specialist
1700 SE HILLMOOR DR, SUITE 402
PORT SAINT LUCIE, FL 34952
Family Medicine
1700 SE HILLMOOR DR
PORT ST LUCIE, FL 34952
Internal Medicine (Cardiovascular Disease)
1700 SE HILLMOOR DR, SUITE 307
PORT SAINT LUCIE, FL 34952
Psychiatry & Neurology (Psychiatry)
1700 SE HILLMOOR DR
PORT ST LUCIE, FL 34952
Specialist
1700 SE HILLMOOR DR, SUITE 501
PORT SAINT LUCIE, FL 34952
Clinic/Center (Primary Care)
1700 SE HILLMOOR DR
PORT ST LUCIE, FL 34952
Specialist
1700 SE HILLMOOR DR, SUITE 305
PORT ST LUCIE, FL 34952
Orthopaedic Surgery
1700 SE HILLMOOR DR, SUITE 500
PORT ST LUCIE, FL 34952
Orthopaedic Surgery
1700 SE HILLMOOR DR, SUITE 500
PORT ST LUCIE, FL 34952
Internal Medicine (Hematology & Oncology)
1700 SE HILLMOOR DR, STE 306
PORT ST LUCIE, FL 34952
Family Medicine
1700 SE HILLMOOR DR, SUITE 400
PORT SAINT LUCIE, FL 34952
Internal Medicine (Medical Oncology)
1700 SE HILLMOOR DR, STE 306
PORT ST LUCIE, FL 34952
Specialist
1700 SE HILLMOOR DR, SUITE 501
PORT SAINT LUCIE, FL 34952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922180249, enumerated as an "organization" on October 19, 2006.

The provider is located at 1700 SE HILLMOOR DR SUITE 503 PORT ST LUCIE, FL 34952 and the phone number is (772) 335-7606.

Surgery with taxonomy code 208600000X.