Active NPI
Shawyntee Mireille Mayo, M.D.
- Pediatric Cardiology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME131416
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-3003 - Phone
- (352) 265-0111
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | P1706 | TX | |
| Pediatrics Physician | 208000000X | ME131416 | FL | |
| Pediatrics Physician | 208000000X | 208000000X | NC | |
| Pediatric Cardiology Physician | 2080P0202X | ME131416 | FL | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610-3003
Mailing address
PO Box 100296
Gainesville, FL 32610-0296
Phone (352) 273-7770
Other practice location 1
841 Prudential Dr Ste 280
Jacksonville, FL 32207-8350
Phone (904) 202-8550
Other practice location 2
601 N Clyde Morris Blvd Ste A
Daytona Beach, FL 32114-2300
Phone (904) 202-8550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020171200 | Medicaid | FL | |
| 003187782E | Medicaid | GA |
Other names 1
- Shawyntee Mireille Vertilus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208000000X | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Baptist Specialty Physicians Inc | Pediatric Cardiology | Current | Accepting new patients |
| Baptist Specialty Physicians Inc | Pediatric Cardiology | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Pediatrics | Current | Accepting new patients |
Locations
1219 Dunn Ave
Daytona Beach, FL 32114
Phone (386) 255-4568
601 N Clyde Morris Blvd
Ste A
Daytona Beach, FL 32114
Phone (386) 252-3985
1747 Baptist Clay Dr
Ste 100
Fleming Island, FL 32003
Phone (904) 202-8550
836 Prudential Dr
Ste 802
Jacksonville, FL 32207
Phone (904) 202-8290
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
841 Prudential Dr
Ste 100
Jacksonville, FL 32207
Phone (904) 633-4110
1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110
841 Prudential Dr
Ste 280
Jacksonville, FL 32207
Phone (904) 202-8290
3650 NW Devane St
Lake City, FL 32055
Phone (386) 755-1221
2418 E Plaza Dr
Tallahassee, FL 32308
Phone (850) 629-4861
201 Lakeshore Pt
Ste B
Saint Marys, GA 31558
Phone (912) 729-6821
Interoperability endpoints
- smayo239820@direct.shands.ufl.edu
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1952575854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100296",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100296",
"telephone_number": "352-273-7770",
"fax_number": "352-392-0547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103003",
"telephone_number": "352-265-0111"
}
],
"practiceLocations": [
{
"address_1": "841 Prudential Dr Ste 280",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078350",
"country_code": "US",
"telephone_number": "904-202-8550",
"fax_number": "904-393-7808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 N Clyde Morris Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142300",
"country_code": "US",
"telephone_number": "904-202-8550",
"fax_number": "904-393-7808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYO",
"first_name": "SHAWYNTEE",
"middle_name": "MIREILLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "TX",
"license": "P1706",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME131416",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "208000000X",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME131416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020171200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003187782E",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHAWYNTEE",
"last_name": "VERTILUS",
"middle_name": "MIREILLE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.