Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Mayo LLC

Organization General Practice Physician · NPI 1982415154

Derrick Mayo LLC is a General Practice Physician in Columbus, Ohio. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

81 S 4th St Ste 205
Columbus, OH 43215-4308
Phone: (614) 588-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1982415154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Polizzi — Office Manager · (614) 588-8200
Other names 614 Dental Group; 614 Dental Group
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address81 S 4th St Ste 205, Columbus, OH 43215-4308

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