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Caleb Elisha Etheridge, PA-C

NPI 1225670532ActiveIndividual· Physician Assistant· Rome, GA

Physician Assistant (PA-C) with Harbin Clinic LLC, practicing in Rome, Georgia. 247 Medicare patients in 2024, $42,795 paid; all of their 256 Part D prescriptions were generic. Lists Adventhealth Redmond and 1 other hospital as hospital affiliations.

Overview

NPI1225670532
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 9, 2019
Last updated in NPPESMay 8, 2020
Certified by providerMay 8, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X9480GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients247
Services billed12,319 across 28 procedure codes
Paid by Medicare$42,795

Part D prescriptions in 2024

Prescriptions (claims)256 · 277 30-day fills
Patients101
Total drug cost$2,246
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Rome

All 83 physician assistants in Rome · All physician assistants in Georgia