Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caleb Elisha Etheridge, PA-C

Individual provider Physician Assistant · NPI 1225670532

Caleb Elisha Etheridge, PA-C is a Physician Assistant in Rome, Georgia. Qualified in 2019, 7 years ago. Practices with Harbin Clinic LLC, a 254-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone: (762) 235-2700
Fax: (706) 236-6437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9480 (GA)

Record details

NPI number1225670532
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2019
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020
Mailing address221 Technology Pkwy Nw, Rome, GA 30165-1369

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Harbin Clinic Llc — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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