Christopher James Kallinger, PA-C, MMS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9110002 Issued in FL

Practice address

1514 Nira St
Jacksonville, FL 32207-8652

Phone

(904) 387-4991

NPI assigned

Nov 9, 2016

Sex

Male

Sole proprietor

Yes

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 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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of SC PCGroup PAC ID 4284864372, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: christopher.kallinger@adcs1.emadirect.md

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.

• Advanced Dermatology of SC PC

  • Dermatology Physician
  • Spartanburg, SC
  • NPI 1255754008
  Medicare reassignment Care Compare group
• Family Physicians of Spartanburg, PC

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1629228382
  Medicare reassignment

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1720520687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 CORPORATE CENTER PKWY",
            "address_2": "APT 208",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160988",
            "telephone_number": "321-356-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 NIRA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078652",
            "telephone_number": "904-387-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLINGER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "PA-C, MMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb's Room LLC
• Kalena Smith-Fulwiley, LLC
• Hammad A Kalim
• Alivia Kalin
• Angelia Kallen, RN
• Heidi Rubach Kallivayalil, PHARM.D.
• Melissa Claire Kallman, MSW, LCSW
• Sahana R Kalmadi, MD
• Aastha Kalra, DO
• Scott L Kaltman, MD

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.