Carmen Anita Shirley, MD

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

ME67429 Issued in FL

Practice address

110 Front St FL 6
Jupiter, FL 33477-5095

Phone

(210) 495-0224

Fax

(210) 247-9326

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Howard University College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HHA Associates LLCGroup PAC ID 2961839758, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
• Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• HHA Associates LLC

  • Hospitalist Physician
  • Miami, FL
  • NPI 1265073159
  Medicare reassignment Care Compare group NPD
• Broward Multispecialty Group LLC

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1306082227
  NPD (past)

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

• Columbia Hospital Corporation of South Broward

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1063466589
  Care Compare affiliation
• University Hospital, LTD.

  • General Acute Care Hospital
  • Tamarac, FL
  • NPI 1144274770
  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1821157504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FRONT ST FL 6",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775095",
            "telephone_number": "210-495-0224",
            "fax_number": "210-247-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRONT ST FL 6",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775095",
            "telephone_number": "210-495-0224",
            "fax_number": "210-247-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "CARMEN",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME67429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251742600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary S Shifrin, MD
• Mazin M Shikara, M.D.
• Marisa Beryl Shilling, M.S.
• Debra Ann Shim, O.D.
• Nancy M Shirk, PT
• Michele Shockley, ARNP
• Kevin Tyler Shope, PA-C
• Shorelinesmiles PA
• Kathryn Shores, RBT
• Kristen Lee Shotwell, APRN

• Adolescent Medicine (Family Medicine) Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Adolescent Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.

Verify at the official NPI Registry.