Grand Canyon University
NPI 1124501069 · Family Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Canyon University is a Family Medicine Physician organization in Phoenix, AZ (NPI 1124501069).
Provider details
- NPI number
- 1124501069
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Constance Colbert, Director(602) 639-7757
- License
- OTC9096 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Grand Canyon Education, Inc
Registry dates
- Enumerated
- 2018-09-06
- Last updated
- 2021-02-06
- Certified
- 2021-02-06
Frequently asked questions
- What is Grand Canyon University's NPI number?
- Grand Canyon University's National Provider Identifier (NPI) is 1124501069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Canyon University?
- Grand Canyon University is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Canyon University located?
- Grand Canyon University's practice location on file with NPPES is 3300 W Camelback Rd, Phoenix, AZ 85017-1097.
- What is Grand Canyon University's phone number?
- The practice phone number listed in the NPPES registry for Grand Canyon University is (602) 639-6215.
- Does Grand Canyon University accept Medicare?
- Grand Canyon University is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Canyon University?
- The authorized official listed on Grand Canyon University's NPPES record is Constance Colbert, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Canyon University's NPI active?
- Yes — Grand Canyon University's NPI (1124501069) is active in the NPPES registry as of the last update on 2021-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.