Individual provider Active NPI

Shawyntee Mireille Mayo, M.D.

  • Pediatric Cardiology Physician
  • Gainesville, FL
National Provider Identifier
1952575854
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
ME131416 Issued in FL
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

Updated by the provider on May 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020171200MedicaidFL
003187782EMedicaidGA

Other names 1

  • Shawyntee Mireille Vertilus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170411000190 FL Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 4981864527 Reassigns benefits to 3 organizations
I20180820003750 GA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 4981864527 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208000000XNCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc CurrentSince Sep 9, 2025 Accepting new patients
Baptist Specialty Physicians Inc Pediatric Cardiology CurrentSince Jun 1, 2021 Accepting new patients
Baptist Specialty Physicians Inc Pediatric Cardiology CurrentSince Aug 11, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Pediatrics CurrentSince Apr 22, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.