Daniel Steven Carter Jr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9109455 Issued in FL

Practice address

4120 12TH Ave N
St Petersburg, FL 33713-5914

Phone

(727) 272-9119

Fax

(727) 202-8240

NPI assigned

Mar 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Health Care of Pinellas, LLCGroup PAC ID 1658274675, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.carter@phcopi.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

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.

• Neural Health

  • Psychiatry Physician
  • Saint Petersburg, FL
  • NPI 1114810579
  Medicare reassignment NPD Authorized official
• Professional Health Care of Pinellas LLC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1881647253
  Medicare reassignment Care Compare group NPD
• Ashit K Vijapura MD PA

  • Psychiatry Physician
  • Plant City, FL
  • NPI 1154517068
  Medicare reassignment
• Health & Psychiatrist Consultants LLC

  • Multi-Specialty Clinic/Center
  • Oldsmar, FL
  • NPI 1467696062
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1053774893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 12TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135914",
            "telephone_number": "727-272-9119",
            "fax_number": "727-202-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 12TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337135914",
            "telephone_number": "727-272-9119",
            "fax_number": "727-202-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337139089",
            "country_code": "US",
            "telephone_number": "727-272-9119",
            "fax_number": "727-202-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DANIEL",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AV9RK",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017298400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario Amaury Cartaya Diaz, APRN
• Anneta Marie Carter, MS
• Caitlin Carter
• Charmaine A. Carter, M.D.
• Cheyanne Nicole Carter
• Edward Everett Carter
• Quiniksha Nicole Carter
• Shanterra Regina Carter, BA
• Shardae Carter
• Sigrid Cartier

• Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.