David Orlando Caraballo, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1806 Issued in SC

Practice address

109 S. Green Street
Ridgeland, SC 29936

Phone

(843) 726-6773

Fax

(843) 726-6778

NPI assigned

Oct 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGDCBD

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.

• Hilton Head Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Hilton Head Island, SC
  • NPI 1326047176
  Medicare reassignment
• South Carolina Group Services, LLC

  • Hospitalist Physician
  • Mount Pleasant, SC
  • NPI 1609212232
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  SC

  Medicare reassignment
• SJC Medical Group Inc

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1811233828

  SC

  Medicare reassignment
• Hilton Head Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Hardeeville, SC
  • NPI 1265680391
  NPD
• Tricia Etheridge, MD, PC

  • Family Medicine Physician
  • Ridgeland, SC
  • NPI 1578620480
  NPD
• Georgia Emergency Associates Immediate Care Center

  • General Practice Physician
  • Savannah, GA
  • NPI 1306876081
  NPD (past)
• Saint Josephs Medical Group Inc

  • Family Medicine Physician
  • Pembroke, GA
  • NPI 1154349850
  NPD (past)

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

{
    "created_epoch": "1256342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626480000000",
    "number": "1114253242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 E. 65TH STREET",
            "address_2": "SUITE 22",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31405",
            "telephone_number": "912-819-7878",
            "fax_number": "912-819-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S. GREEN STREET",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-726-6773",
            "fax_number": "843-726-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "DAVID",
        "middle_name": "ORLANDO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-24",
        "last_updated": "2021-07-17",
        "certification_date": "2021-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Light Behavioral and Developmental Services
• Brighter Day at Home LLC
• Marycarter Buck
• Jarcella Burden
• Melissa Cahill, MSR, CCC-SLP
• Caring Hands Health Care Inc
• Caring Hands Health Care, Inc.
• Caring Hands Health Equipment & Supplies LLC
• Caring Hands Health Equipment & Supplies, Inc.
• Carolina Doctors of Physical Therapy, LLC

• Medical Physician Assistant in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.