Quick answers
- Where does Jack W. Shaw see patients?
- Medicare's clinician data lists 2 practice locations, including Saint Petersburg, FL and St Petersburg, FL. Call before your visit to confirm the address.
- What is Jack W. Shaw's specialty?
- Medicare lists Mental Health Counselor as the primary specialty.
- Does Jack W. Shaw accept Medicare assignment?
- Medicare's clinician data says Jack W. Shaw may accept Medicare assignment (as of 2026-10-02). Ask the office whether they accept it for your visit.
- What is Jack W. Shaw's NPI number?
- 1124623319. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Practice locations
Addresses where Jack W. Shaw is enrolled with Medicare (CMS data updated 2026-10-02).
- 9600 Koger Blvd N, Suite 227Saint Petersburg, FL 33702
- PO Box, Suite 10970St Petersburg, FL 33733
Specialties
- Mental Health Counselorprimary
Other mental health counselors in Saint Petersburg
Clinicians with the same Medicare primary specialty in Saint Petersburg, FL — not a recommendation.
Clinician information
| Graduation year | 2018 |
|---|---|
| Gender (as listed) | Male |
| Medicare assignment | May accept for some services |
| NPI (National Provider Identifier) | 1124623319 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- National Downloadable File (Doctors and Clinicians) — CMS, data updated 2026-10-02, retrieved 2026-10-29
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians