Individual provider Active NPI

Joseph V. Caravaglio, MD

  • Dermatology Physician
  • Jacksonville, FL
National Provider Identifier
1164953832
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME148191 Issued in FL
Practice address
14810 Old Saint Augustine Rd Ste 103
Jacksonville, FL 32258-2558
Phone
(904) 512-1899
Fax
(904) 503-1052
NPI assigned
Mar 24, 2017
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME148191 FL Primary

Addresses

Primary practice location

14810 Old Saint Augustine Rd Ste 103
Jacksonville, FL 32258-2558

Mailing address

PO Box 13834
Tallahassee, FL 32317-3834
Phone (850) 205-6232

Other practice location 1

616 State Road 13 N Ste 8
St Johns, FL 32259-3868
Phone (904) 512-1899

Other practice location 2

2155 Old Moultrie Rd Ste 204
St Augustine, FL 32086-5106
Phone (904) 877-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630002250 FL Practitioner - Dermatology 6204183502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

616 State Rd
Suite 13
Saint Johns, FL 32259-3871
Phone (850) 205-6232

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1250
Removal or shaving of skin growth13
Skin biopsy532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Tallahassee PA Dermatology CurrentSince Dec 1, 2023 Accepting new patients
Dermatology Associates of Tallahassee, PA Dermatology CurrentSince Dec 1, 2023 Accepting new patients

Locations

19611 State Road 20 W
Blountstown, FL 32424
Phone (850) 674-5645

110 NE 5th St
Carrabelle, FL 32322
Phone (850) 697-1118

14810 Old St Augustine Rd
Ste 103
Jacksonville, FL 32258
Phone (904) 296-0098

4727 Sunbeam Rd
Jacksonville, FL 32257
Phone (904) 512-1899

2155 Old Moultrie Rd
Ste 204
St Augustine, FL 32086
Phone (904) 877-1300

616 State Road 13 N
St Johns, FL 32259
Phone (850) 205-6232

616 State Road 13 N
Ste 8
St Johns, FL 32259
Phone (904) 512-1899

1707 Riggins Rd
Tallahassee, FL 32308
Phone (850) 205-6232

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1164953832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13834",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173834",
            "telephone_number": "850-205-6232",
            "fax_number": "855-975-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 OLD SAINT AUGUSTINE RD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582558",
            "telephone_number": "904-512-1899",
            "fax_number": "904-503-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 State Road 13 N Ste 8",
            "address_purpose": "LOCATION",
            "city": "St Johns",
            "state": "FL",
            "postal_code": "322593868",
            "country_code": "US",
            "telephone_number": "904-512-1899",
            "fax_number": "904-770-7592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2155 Old Moultrie Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865106",
            "country_code": "US",
            "telephone_number": "904-877-1300",
            "fax_number": "904-506-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARAVAGLIO",
        "first_name": "JOSEPH",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME148191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.