Active NPI
Shawn Stafford Carter, MD
- Nuclear Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- ME119355
- Practice address
- 3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214 - Phone
- (813) 875-3950
- Fax
- (813) 872-2741
- NPI assigned
- May 25, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME119355 | FL | |
| Nuclear Medicine Physician | 207U00000X | 2009-0003 | NC | |
| Nuclear Medicine Physician | 207U00000X | ME119355 | FL | Primary |
Addresses
Primary practice location
3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other practice location 1
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone (561) 366-4100
Other practice location 2
1381 S Patrick Dr
Patrick AFB, FL 32925-3606
Phone (321) 494-4005
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ITM0X | Other | FL | FLORIDA BCBS |
| 017514000 | Medicaid | FL | |
| OU964 | Other | FL | HF MEDICARE |
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- University of South Carolina School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3402 W Dr Martin Luther King Jr BLV
Florida Cancer Specialists PL
Tampa, FL 33607-6214
Phone (813) 875-3950
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006213 | GA | MD | Professional Counselor |
| 2009-0003 | NC | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Brevard Physician Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Regional Center Professional Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
14529 Cortez Blvd
Brooksville, FL 34613
Phone (352) 596-1401
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449
8260 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5755
100 Highland Ave N
Largo, FL 33770
Phone (727) 683-2900
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1390 Grand Venture Dr
North Port, FL 34286
Phone (941) 257-2280
4945 SW 49th Pl
Ocala, FL 34474
Phone (352) 237-9430
52 W Gore St
Orlando, FL 32806
Phone (407) 203-2700
1970 Golf St
Sarasota, FL 34236
Phone (941) 957-1000
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244
3402 W Dr Martin Luther King Jr Blvd
Fl Cancer
Tampa, FL 33607
Phone (813) 875-3950
3402 W Mlk Blvd
Tampa, FL 33607
Phone (813) 875-3950
2955 Brownwood Blvd
Ste 107
The Villages, FL 32163
Phone (352) 765-7100
1400 N US Highway 441
Ste 540
The Villages, FL 32159
Phone (352) 561-3290
9320 State Road 54
Trinity, FL 34655
Phone (727) 493-2513
2895 Hueland Pond Blvd
Ste 100
Wesley Chapel, FL 33543
Phone (813) 279-7107
1309 N Flagler Dr
Fl Cancer
West Palm Beach, FL 33401
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 6
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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
Diagnostic Radiology
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Diagnostic Radiology
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1619365772
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Medical Oncology Physician
- Bradenton, FL
- NPI 1508973231
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1659582286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 W DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076214",
"telephone_number": "813-875-3950",
"fax_number": "813-872-2741"
}
],
"practiceLocations": [
{
"address_1": "1309 N Flagler Dr",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334013406",
"country_code": "US",
"telephone_number": "561-366-4100",
"fax_number": "866-326-5063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1381 S Patrick Dr",
"address_purpose": "LOCATION",
"city": "Patrick AFB",
"state": "FL",
"postal_code": "329253606",
"country_code": "US",
"telephone_number": "321-494-4005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "SHAWN",
"middle_name": "STAFFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME119355",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NC",
"license": "2009-0003",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "FL",
"license": "ME119355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BCBS",
"identifier": "ITM0X",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017514000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HF MEDICARE",
"identifier": "OU964",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.