GRAND CANYON UNIVERSITY
NPI 1124501069
Family Medicine in Phoenix, AZ
About Grand Canyon University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND CANYON UNIVERSITY (NPI 1124501069), doing business as Grand Canyon Education, Inc, is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since September 2018. The organization lists Constance Colbert, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Canyon University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Grand Canyon University, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grand Canyon University's NPI number?
The NPI number for Grand Canyon University is 1124501069. It was assigned to this organization in the NPPES registry on September 6, 2018. The provider was formerly known as Grand Canyon Education, Inc.
Where is Grand Canyon University located?
Grand Canyon University is located at 3300 W Camelback Rd Health Center, Phoenix, AZ 85017. The listed phone number is (602) 639-6215.
What is Grand Canyon University's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Grand Canyon University enrolled in Medicare?
Yes. Grand Canyon University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Canyon University?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Grand Canyon University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grand Canyon University was last updated on February 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Grand Canyon University · NPI 1124501069
Family Medicine organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since September 6, 2018.
## Identity
- **NPI:** 1124501069 (Entity type: Organization)
- **Enumerated:** September 6, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Constance Colbert, DIRECTOR
## Practice location
- **Address:** 3300 W CAMELBACK RD, HEALTH CENTER, Phoenix, AZ 85017-1097
- **Phone:** (602) 639-6215 · **Fax:** (602) 639-7830
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124501069) · Data from the CMS NPPES public registry.