NPIMap

Individual provider Active NPI

Garrett Sanford Mayo, MD

  • Family Medicine Physician
  • Greeley, CO
National Provider Identifier
1619590494
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0066821 Issued in CO
Practice address
1600 23Rd Ave
Greeley, CO 80634-6070
Phone
(970) 810-2815
Fax
(970) 353-5884
NPI assigned
May 27, 2020
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0066821 CO Primary
Family Medicine Physician 207Q00000X TL.0008449 CO

Addresses

Primary practice location

1600 23Rd Ave
Greeley, CO 80634-6070

Mailing address

1600 23Rd Ave
Greeley, CO 80634-6070
Phone (970) 810-2815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829002933 CO Practitioner - Family PracticePractitioner - Hospitalist 9133582877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Drexel University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Community HealthGroup PAC ID 0648164780, 51 clinicians

Practice addresses (Care Compare)

1010 A St
Greeley, CO 80631-2021
Phone (970) 313-0400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL.0008449COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Aug 20, 2023 Accepting new patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Sunrise Community Health CurrentSince Oct 15, 2023 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Aug 20, 2023 Accepting new patients
Sunrise Community Health CurrentSince Oct 15, 2023 Accepting new patients
Sunrise Community Health Family Medicine Current Accepting new patients
Sunrise Community Health Past Accepting new patients

Locations

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1010 A St
Greeley, CO 80631
Phone (970) 313-0400

1600 23rd Ave
Greeley, CO 80634
Phone (970) 356-2424

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 461-8942

Interoperability endpoints

  • Direct secure messaging: garrett.mayo.1@27043.direct.athenahealth.com

Organizations & group practices 7

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

Hospital & facility affiliations 12

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1619590494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 23RD AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346070",
            "telephone_number": "970-810-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346070",
            "telephone_number": "970-810-2815",
            "fax_number": "970-353-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "GARRETT",
        "middle_name": "SANFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0066821",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL.0008449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.