Garrick Leonard Klaybor, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME165848 Issued in FL

Practice address

11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206

Phone

(239) 387-2695

NPI assigned

Apr 1, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greenbrier Hospital, LLC

  • Psychiatric Hospital
  • Covington, LA
  • NPI 1659451664
  Medicare reassignment NPD
• River Oaks Inc

  • Psychiatry Physician
  • New Orleans, LA
  • NPI 1528230976
  Medicare reassignment NPD
• River Oaks Inc

  • Psychiatric Hospital
  • New Orleans, LA
  • NPI 1851350862
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Ness Healthcare NFP

  • Psychiatric Hospital
  • Mandeville, LA
  • NPI 1043264351

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1588907273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N SALCEDO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701194022",
            "telephone_number": "504-250-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-387-2695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Christian Ln",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704581350",
            "country_code": "US",
            "telephone_number": "985-690-6622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1542 Tulane Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122865",
            "country_code": "US",
            "telephone_number": "504-568-7912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAYBOR",
        "first_name": "GARRICK",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "300699",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME165848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2332775",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Kite
• Kiwan Dental Care & Dental Implants Center, LLC
• Laurie Ann Knight Kjoller, LICSW
• Ryan Lee Kjome, M.D.
• Timothy John Klatt, PA-C
• Evelyn Kleiber, CRNA
• Jeffrey Eric Kleiman, DPM
• Bradley Marc Klein, M.D.
• Candace Klein, CRNA
• Shaindyl Klein

• Psychiatry Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.