Carelock, LLC
NPI 1245795459 · Family Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1245795459
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Gilliam, Medical Director(928) 772-1673
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Medical Laboratory291U00000X
Laboratories
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
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
5 documented practice locations
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
Additional practice locations (4)
- 1934 N Hwy 89Chino Valley, AZ 86323-5643Phone: (928) 667-1968Fax: (866) 205-4076
- 12075 E State Route 69 Ste aDewey, AZ 86327-4517Phone: (928) 485-4142Fax: (866) 205-4076
- 14600 S Waterberry StMayer, AZ 86333-2027Phone: (928) 271-5490Fax: (866) 205-4076
- 2150 W Indian School RdPhoenix, AZ 85015-4907Phone: (480) 681-3450Fax: (866) 205-4076
Registry dates
- Enumerated
- 2019-02-01
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.