Active NPI
Carl Tyler Shenkman, M.D., J.D., LLM
- Neurology Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME118247
- Practice address
- 501 S Lincoln Ave Ste 22
Clearwater, FL 33756-5964 - Phone
- (727) 357-7828
- Fax
- (727) 337-7646
- NPI assigned
- May 11, 2006
- Last updated
- Mar 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036000 | GA | |
| Neurology Physician | 2084N0400X | 36000 | GA | |
| Neurology Physician | 2084N0400X | ME118247 | FL | Primary |
| Hospitalist Physician | 208M00000X | ME118247 | FL |
Addresses
Primary practice location
501 S Lincoln Ave Ste 22
Clearwater, FL 33756-5964
Mailing address
501 S Lincoln Ave Ste 22
Clearwater, FL 33756-5964
Phone (727) 357-7828
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011898500 | Medicaid | FL | |
| P00187661 | Other | GA | RAILROAD MEDICARE PIN |
| 000516942H | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 14TH St SW
HCA Florida Largo Hospital
Largo, FL 33770-3133
Phone (727) 588-5200
6144 Route 25a
Suite 9
Wading River, NY 11792-2015
Phone (631) 910-4201
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36000 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Wellness Primary Care PLLC | Current | Accepting new patients | |
| Neuro-Stat | Neurology | Current | Accepting new patients |
| Neurology Medicine Services of FL, LLC | Neurology | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Lifeline Tests Incorporated | Current | Accepting new patients | |
| Complete Brain Testing LLC | Current | Accepting new patients | |
| Neurological Institute of Atlanta | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Kel Healthcare Medical Services PC | Current | Accepting new patients | |
| Pain and Accident Chiropractic-Roswell LLC | Past | Accepting new patients | |
| Archbold Medical Group, Inc. | Past | Accepting new patients | |
| Georgia Neurology and Rehab | Specialist | Past | Accepting new patients |
Locations
501 S Lincoln Ave
Ste 22
Clearwater, FL 33756
Phone (727) 357-7828
1000 Mar Walt Dr
#H
Fort Walton Beach, FL 32547
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
200 2nd Ave S
St Petersburg, FL 33701
Phone (727) 465-8515
8142 Bellarus Way
Ste 104
Trinity, FL 34655
Phone (727) 202-1303
1111 Glynco Pkwy
Ste 400
Brunswick, GA 31525
Phone (912) 262-1801
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
425 E Crossville Rd
Ste 101
Roswell, GA 30075
Phone (678) 214-8547
1530 Bedford Ave
Fl 3
Brooklyn, NY 11216
Phone (718) 400-6951
1866 Wading River Manor Rd
Wading River, NY 11792
Phone (631) 910-4200
6315 Roosevelt Ave
Woodside, NY 11377
Phone (718) 810-4717
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Clearwater, FL
- NPI 1104365550
-
- Neurology Physician
- Largo, FL
- NPI 1164129227
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1629892476
-
- Medical Specialty Clinic/Center
- Roswell, GA
- NPI 1508667940
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Brunswick, GA
- NPI 1538495999
-
dba Coastal Neurological Institute
- Specialist
- Brunswick, GA
- NPI 1912003401
-
- Gerontology Nurse Practitioner
- Largo, FL
- NPI 1023864121
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Freeport, NY
- NPI 1306645577
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Surgery Physician
- Thomasville, GA
- NPI 1831353036
-
dba Pain and Accident Chiropractic
- Clinic/Center
- Roswell, GA
- NPI 1215508148
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Bayonet Point Hospital
- General Acute Care Hospital
- Hudson, FL
- NPI 1992759419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1083664874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S LINCOLN AVE STE 22",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565964",
"telephone_number": "727-357-7828",
"fax_number": "727-337-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S LINCOLN AVE STE 22",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565964",
"telephone_number": "727-357-7828",
"fax_number": "727-337-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENKMAN",
"first_name": "CARL",
"middle_name": "TYLER",
"name_prefix": "Dr.",
"credential": "M.D., J.D., LLM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "036000",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "36000",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME118247",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME118247",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011898500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00187661",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000516942H",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.