Individual provider Active NPI

Michaela Brooke Carson, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1598358269
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20778 Issued in TX
Practice address
10538 Potranco Rd BLDG 1
San Antonio, TX 78251-3361
Phone
(727) 946-3662
NPI assigned
Feb 14, 2021
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9117511 FL
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA20778 TX Primary

Addresses

Primary practice location

10538 Potranco Rd BLDG 1
San Antonio, TX 78251-3361

Mailing address

1201 Avenue B Apt 1713
San Antonio, TX 78215-2305
Phone (727) 946-3662

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926004192 FL Practitioner - Physician Assistant 1951755867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

1838 Rye Rd
Suite 107
Bradenton, FL 34212-9038
Phone (941) 462-2004

26812 US Hwy 19 N
Clearwater, FL 33761-3405
Phone (727) 799-2727

3030 4TH St N
Saint Petersburg, FL 33704-2105
Phone (727) 610-3660

313 SW Pine Island Rd
Cape Coral, FL 33991-2043
Phone (239) 458-6755

34621 US Hwy 19 N
Palm Harbor, FL 34684-2152
Phone (727) 953-9888

408 E Brandon Blvd
Brandon, FL 33511-5318
Phone (813) 681-5571

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

7321 Park Blvd N
Pinellas Park, FL 33781-2922
Phone (727) 306-1844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9117511FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince May 12, 2025 Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1598358269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AVENUE B APT 1713",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152305",
            "telephone_number": "727-946-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10538 POTRANCO RD BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513361",
            "telephone_number": "727-946-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "MICHAELA",
        "middle_name": "BROOKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9117511",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.