Healthcare Provider Details

I. General information

NPI: 1275459372
Provider Name (Legal Business Name): GATEWAY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 GUNNER DR
FORT MITCHELL AL
36856-4339
US

IV. Provider business mailing address

120 12TH ST UNIT 245
COLUMBUS GA
31902-7711
US

V. Phone/Fax

Practice location:
  • Phone: 334-727-0550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. NATASHA GREEN
Title or Position: NURSE PRACTITIONER
Credential: CRNP
Phone: 334-540-9364