Individual provider Active NPI

Kenneth O. Carter, M.D.

  • Psychiatry Physician
  • Bay Pines, FL
National Provider Identifier
1073547543
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME127103 Issued in FL
Practice address
1000 Bay Pines Blvd.
Bay Pines, FL 33744
Phone
(727) 273-6828
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME127103 FL Primary

Addresses

Primary practice location

1000 Bay Pines Blvd.
Bay Pines, FL 33744

Mailing address

235 3Rd Ave N Unit 551
St Petersburg, FL 33701-3383
Phone (704) 953-8039

Other identifiers 3

IdentifierTypeStateIssuer
T32836MedicaidSC
1073547543MedicaidNC
89133JFMedicaidNC

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003000005 FL Practitioner - Psychiatry 0345374641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony United Florida, LLCGroup PAC ID 9638306673, 86 clinicians

Practice addresses (Care Compare)

3235 SW 34TH St
Ocala, FL 34474-7501
Phone (352) 431-3940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony United Florida, LLC Psychiatry CurrentSince Oct 23, 2025 Accepting new patients
The Saluda Counseling Services Center Inc. PastSince Apr 16, 2001 Accepting new patients

Locations

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

8550 NE 138th Ln
Ste 2000C
The Villages, FL 32159

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kenneth.carter@harmonyhealthcare.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1073547543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 3RD AVE N UNIT 551",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013383",
            "telephone_number": "704-953-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BAY PINES BLVD.",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-273-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KENNETH",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME127103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T32836",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073547543",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133JF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Pines, FL

Sources for this page

Verify at the official NPI Registry.