Caleb Robertson Harbin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12430 Issued in TX

Practice address

800 Medical Center Dr Ste C
Decatur, TX 76234-3844

Phone

(940) 626-2110

NPI assigned

Aug 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Doctors Urgent Care of Northlake PLLCGroup PAC ID 5294107249, 13 clinicians

DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• DCS Medical PA

  • Urgent Care Clinic/Center
  • Princeton, TX
  • NPI 1285082768
  Medicare reassignment Care Compare group NPD
• Doctors Urgent Care of Northlake PLLC

  • Urgent Care Clinic/Center
  • Northlake, TX
  • NPI 1912612920
  Medicare reassignment Care Compare group NPD
• Doctors Urgent Care - Flower Mound PLLC

  • Urgent Care Clinic/Center
  • Flower Mound, TX
  • NPI 1932892510
  Medicare reassignment NPD
• Christine Holland MD PA

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1962677740
  Medicare reassignment
• DCS Medical PA

  • Rural Health Clinic/Center
  • Bonham, TX
  • NPI 1063138741
  NPD
• Jessica R. Judge DC, LLC

  • Chiropractor
  • Justin, TX
  • NPI 1871905760
  NPD (past)

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1124509880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S I 35 E STE 188",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762058154",
            "telephone_number": "940-222-3800",
            "fax_number": "940-222-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR STE C",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343844",
            "telephone_number": "940-626-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 S I 35 E Ste 188",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762058154",
            "country_code": "US",
            "telephone_number": "940-222-3800",
            "fax_number": "940-222-3801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "CALEB",
        "middle_name": "ROBERTSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Scott Gwilliam, PT, CWS
• Agha Zia Haider, M.D.
• Irfan Hameed, MD
• Kathryn Hammer, PT
• Adriana I Hampton, MFT 50036
• Haroon Siddique, MD, PA
• Patrick Sean Hart, PTA
• Courtney Nicole Hatley, FNP
• Juile Marie Hayes, BCAT
• Shantell Korey Hayes, FNP-C

• Physician Assistant in Decatur, TX
• Providers in Decatur, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.