Individual provider Active NPI

Stephen L Carr, MD

  • Diagnostic Radiology Physician
  • Tallahassee, FL
National Provider Identifier
1629021811
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME81701 Issued in FL
Practice address
1600 Phillips Rd
Tallahassee, FL 32308-5304
Phone
(850) 878-4127
Fax
(850) 878-0337
NPI assigned
May 18, 2006
Last updated
Jul 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME81701 FL Primary
Diagnostic Ultrasound Physician 2085U0001X ME81701 FL

Addresses

Primary practice location

1600 Phillips Rd
Tallahassee, FL 32308-5304

Mailing address

PO Box 1678
Tallahassee, FL 32302-1678
Phone (850) 878-4102

Other identifiers 5

IdentifierTypeStateIssuer
000962992CMedicaidGA
000962992DMedicaidGA
000962992BMedicaidGA
260879100MedicaidFL
58700OtherFLBCBS

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
I20040615001665 FL Practitioner - Diagnostic Radiology 9234113432 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Radiology Partners LTDGroup PAC ID 2860886918, 26 clinicians
Radiology Associates of Tallahassee PAGroup PAC ID 6709895675, 25 clinicians
Tallahassee Diag Imaging Ctr LTDGroup PAC ID 9032193222, 25 clinicians

Practice addresses (Care Compare)

1300 Medical Dr
Tallahassee, FL 32308-4646
Phone (850) 216-0100

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-4120

1401 Centerville Rd
Tallahassee, FL 32308-4639

1600 Phillips Rd
Tallahassee, FL 32308-5304
Phone (850) 878-4127

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101040136VAMDEmergency Medicine Physician
ME81701FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Apr 2, 2001 Accepting new patients
Florida Department of Children and Families CurrentSince Apr 10, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 1, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Florida Department of Children and Families Current Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Mar 1, 2004 Accepting new patients
Florida Department of Children and Families CurrentSince Apr 10, 2021 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince Mar 15, 2022 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince May 1, 2025 Accepting new patients
Southeast Radiology Associates PL Diagnostic Radiology Past Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology Past Accepting new patients

Locations

100 N Main St
Chattahoochee, FL 32324
Phone (850) 663-7001

100 N Main St
Bldg 1028
Chattahoochee, FL 32324
Phone (904) 330-2215

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

7487 S State Road 121
Macclenny, FL 32063
Phone (904) 259-6211

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1629021811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323021678",
            "telephone_number": "850-878-4102",
            "fax_number": "850-942-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PHILLIPS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085304",
            "telephone_number": "850-878-4127",
            "fax_number": "850-878-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME81701",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "ME81701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000962992C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000962992D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000962992B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260879100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.