TATAYANA CARTER (PA-C) – Physician Assistant, NPI 1083027924

TATAYANA CARTER (PA-C) is a healthcare provider. based in Brandon, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9107942 (FL). The NPI Number for TATAYANA CARTER (PA-C) is 1083027924

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TATAYANA CARTER (PA-C)
NPI
1083027924
Phone
(813) 684-3707
Address
721 W ROBERTSON ST
Enumeration Date
9 June 2014
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8137429501
Graduation Year
2014 (12 years ago)
PAC ID
3476860982
Group Practice PAC ID
0840104253
Professional Enrollment ID
I20150916001267
Address ID
FL336298658TA3411XHWYX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for TATAYANA CARTER (PA-C)

  • 721 W ROBERTSON ST

    SUITE 102

    BRANDON, FL 335114900

    Phone: (813) 684-3707

    Fax: (813) 654-3671

    Type: Mailing

  • 909 N Dale Mabry Hwy

    Tampa, FL 336091251

    Phone: (813) 978-9700

    Type: Location

  • 5901 E Fowler Ave Ste 100

    Temple Terrace, FL 336172305

    Phone: (813) 978-9700

    Type: Location

  • 5901 E FOWLER AVE STE 100

    TEMPLE TERRACE, FL 336172305

    Phone: (813) 978-9700

    Fax: (813) 558-6186

    Type: Mailing

  • 560 S LAKEWOOD DR STE 101

    BRANDON, FL 335115015

    Phone: (813) 978-9700

    Fax: (813) 558-6186

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($50).

Total Amount

$108

General + Research + Ownership

Payments

4

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150916001267IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg34841$0
99214Established patient office or other outpatient visit, 30-39 minutes7775$0
99204New patient office or other outpatient visit, 45-59 minutes6262$0
73562X-ray of knee, 3 views4138$0
J1885Injection, ketorolac tromethamine, per 15 mg2915$0
View full utilization report →

Insurance plans in this area (ZIP 33511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840104253View full group profile
NameSpecialtyState
Internal MedicineFL
Orthopedic SurgeryGA
Physician AssistantFL
Pain Management, Interventional Pain Management, AnesthesiologyFL
Hand SurgeryMA
Sports MedicineFL
Nurse PractitionerFL
Sports MedicineFL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

How do payers reference TATAYANA CARTER (PA-C)?
For TATAYANA CARTER (PA-C), use NPI 1083027924 as the unique 10-digit identifier.
Active or inactive — what applies to TATAYANA CARTER (PA-C)?
You should see TATAYANA CARTER (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is TATAYANA CARTER (PA-C)?
TATAYANA CARTER (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is TATAYANA CARTER (PA-C) located near Brandon?
TATAYANA CARTER (PA-C) currently maps to Brandon, Florida in this extract.
Does TATAYANA CARTER (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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