Individual provider Active NPI

Shawn Stafford Carter, MD

  • Nuclear Medicine Physician
  • Tampa, FL
National Provider Identifier
1659582286
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
ME119355 Issued in FL
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

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ITM0XOtherFLFLORIDA BCBS
017514000MedicaidFL
OU964OtherFLHF MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160802002405 FL Practitioner - Nuclear Medicine 5597068874 Reassigns benefits to 3 organizations
I20161007000771 FL Practitioner - Diagnostic Radiology 5597068874 Reassigns benefits to 1 organization

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 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006213GAMDProfessional Counselor
2009-0003NCMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Diagnostic Radiology CurrentSince Nov 7, 2022 Accepting new patients
Health First Medical Group, LLC Diagnostic Radiology CurrentSince Feb 21, 2022 Accepting new patients
Brevard Physician Associates, PLLC Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Nov 14, 2017 Accepting new patients
Health First Medical Group, LLC CurrentSince Feb 21, 2022 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.

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

Verify at the official NPI Registry.