Ashley Elisabeth Mazo, MD | NPI 1134566003

Key facts

NPI: 1134566003
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X
License: DR.0063877 (CO)
Practice address: 13123 E 16TH Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
NPI assigned: May 31, 2013
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

Carolinas Medical Center Obstetrics & Gynecology Physician · Charlotte, NC · NPI 1275774333

Medicare reassignment NPD NC · PEDIATRICS
Hospitalist Medicine Physicians of Georgia-TCG, PC Emergency Medicine Physician · Savannah, GA · NPI 1306325840

Medicare reassignment NPD GA
Carolinas Medical Center Surgical Critical Care Physician · Charlotte, NC · NPI 1699979732

NPD PEDIATRICS
Carolinas Medical Center Community/Retail Pharmacy · Charlotte, NC · NPI 1982710554

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in NC, GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20170803003536	NC	Practitioner - Pediatric Medicine	9931349511	Reassigns benefits to 1 organization
I20250205000503	GA	Practitioner - Pediatric Medicine	9931349511	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
2017-01121	NC	MD	Pediatrics Physician
DR.0063877	CO	MD	Pediatric Emergency Medicine (Pediatrics) Physician

Practice roles

Organization	Specialty	Status	New patients
Carolinas Medical Center	Pediatrics	Current	Accepting new patients
Hospitalist Medicine Physicians of Georgia-TCG, PC		Current since Jan 24, 2025	Accepting new patients
Carolinas Medical Center	Pediatrics	Current since Jul 3, 2017	Accepting new patients
Carolinas Medical Center		Current since Jul 3, 2017	Accepting new patients

Locations

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	2017-01121	NC
Pediatric Emergency Medicine (Pediatrics) Physician	2080P0204X	DR.0063877	CO	Yes

Addresses

Primary practice location

13123 E 16TH Ave
Aurora, CO 80045-7106

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

4090 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 305-1234

Other providers in Aurora, CO

All providers in Aurora, CO · Pediatric Emergency Medicine (Pediatrics) Physician in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.