Individual provider Active NPI

Carlos Herring, PA

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1851803498
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772
Phone
(954) 567-1332
Fax
(954) 537-2721
NPI assigned
Nov 3, 2017
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

3000 Bayview Dr Ste 100
Fort Lauderdale, FL 33306-1772

Mailing address

PO Box 20802
Belfast, ME 04915-4105
Phone (469) 803-3000

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190122001021 NC Practitioner - Physician Assistant 3971862384 Reassigns benefits to 1 organization
I20240101000351 FL Practitioner - Physician Assistant 3971862384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8608

3000 Bayview Dr
Fort Lauderdale, FL 33306-1772
Phone (954) 567-1332

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300

927 45TH St
Mangonia Park, FL 33407-2450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.65 of 100Reported as group
Quality
66.27
Promoting interoperability
100
Improvement activities
40
Cost
72.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Dec 31, 2018 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Dec 22, 2023 Accepting new patients
Tenet Florida Physician Services II, LLC Physician Assistant Past Accepting new patients

Locations

3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 265-4463

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Interoperability endpoints

  • Direct secure messaging: carlos.herring.1@13023.direct.athenahealth.com
  • Direct secure messaging: cherring3320216@direct.trinity-health.org

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.

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1851803498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20802",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105",
            "telephone_number": "469-803-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BAYVIEW DR STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061772",
            "telephone_number": "954-567-1332",
            "fax_number": "954-537-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "CARLOS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.