Individual provider Active NPI

Ajay Mayor, MD

  • Child & Adolescent Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1023060100
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME112445 Issued in FL
Practice address
6400 Edgelake Dr
Sarasota, FL 34240
Phone
(941) 921-8600
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME112445 FL Primary

Addresses

Primary practice location

6400 Edgelake Dr
Sarasota, FL 34240

Mailing address

5881 Anise Dr
Sarasota, FL 34238-5143
Phone (321) 240-9711

Other practice location 1

2780 Cleveland Ave
Suite 805
Fort Myers, FL 33901-5817
Phone (239) 343-3630

Other practice location 2

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2062

Other practice location 3

6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone (941) 342-3118

Other identifiers 1

IdentifierTypeStateIssuer
006555300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121001000142 FL Practitioner - Psychiatry 8820058480 Reassigns benefits to 1 organization
Practice locations: Sarasota, FL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abmayor LLC 5 clinicians

Practice addresses (Care Compare)

198 SW Real Ter
Lake City, FL 32025-1504
Phone (941) 921-8600

6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone (618) 528-1244

6400 Edgelake Dr
Sarasota, FL 34240-8813
Phone (618) 528-1244

Hospital & facility affiliations

  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME112445FLMDChild & Adolescent Psychiatry Physician

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Abmayor LLC CurrentSince Sep 29, 2021 Accepting new patients

Locations

6150 Edgelake Dr
Sarasota, FL 34240
Phone (217) 369-4168

6400 Edgelake Dr
Sarasota, FL 34240
Phone (941) 921-8600

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ajay.mayor.1@18773.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1023060100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 ANISE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385143",
            "telephone_number": "321-240-9711",
            "fax_number": "321-240-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 EDGELAKE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34240",
            "telephone_number": "941-921-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 Cleveland Ave",
            "address_2": "Suite 805",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339015817",
            "country_code": "US",
            "telephone_number": "239-343-3630",
            "fax_number": "239-343-2968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-343-2062",
            "fax_number": "239-424-4186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Edgelake Dr",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342408803",
            "country_code": "US",
            "telephone_number": "941-342-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYOR",
        "first_name": "AJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME112445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006555300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.