HARBIN CLINIC, LLC (NPI# 1467016055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467016055 |
Entity Type | Organization |
Organization Name | HARBIN CLINIC, LLC |
Practice Address |
200 Gentilly Blvd Cartersville GA 30120 |
Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
Practice Telephone | 4704906460 |
Practice Fax Number | 6787214386 |
Mailing Telephone | 7622351000 |
Enumeration Date | 2019-04-29 |
Last Update Date | 2019-04-29 |
Authorized Official Name | KENNETH FRANKLIN DAVIS (PRESIDENT) |
Authorized Official Telephone | 7622351000 |
Is Organization Subpart | Y |
Parent Organization Name | HARBIN CLINIC, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Harbin Clinic GI Lab Cartersville | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861680118 | Harbin Clinic, LLC | Clinic/Center | 12541 Highway 27, Summerville, GA 30747-5818 | 2007-10-11 |
1528111283 | Harbin Clinic, LLC | Durable Medical Equipment & Medical Supplies | 101 John Maddox Dr Nw, Rome, GA 30165-1419 | 2007-01-18 |
1851302236 | Harbin Clinic, LLC | Clinic/Center | 172 Three Rivers Dr Ne, Rome, GA 30161-4999 | 2006-08-10 |
1679599088 | Harbin Clinic, LLC | Durable Medical Equipment & Medical Supplies | 221 Technology Pkwy Nw, Rome, GA 30165-1369 | 2006-07-15 |
1982091294 | Harbin Clinic, LLC | Clinic/Center | 855 Curtis Pkwy Se, Calhoun, GA 30701-3688 | 2015-04-24 |
1487993739 | Harbin Clinic, LLC | Clinic/Center | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2013-02-06 |
1063698595 | Harbin Clinic, LLC | Clinical Medical Laboratory | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2008-01-15 |
1902094014 | Harbin Clinic, LLC | Clinic/Center | 14 Cherokee Rd, Cedartown, GA 30125-4381 | 2007-10-15 |
1063615235 | Harbin Clinic, LLC | Durable Medical Equipment & Medical Supplies | 316 W 10th St Ne, Rome, GA 30165-2639 | 2007-06-06 |
1952504201 | Harbin Clinic, LLC | Durable Medical Equipment & Medical Supplies | 958 Joe Frank Harris Pkwy Se Bldg A, Suite 101, Cartersville, GA 30120-2151 | 2007-06-06 |
Street Address |
200 GENTILLY BLVD |
City | CARTERSVILLE |
State | GA |
Zip Code | 30120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811990211 | Amy Michelle Papszycki | Advanced Practice Midwife | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2005-05-31 |
1760026561 | Monica Asio Hall | Advanced Practice Midwife | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2019-11-05 |
1073047643 | Sherri Kim Asbel | Nurse Practitioner | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2017-04-20 |
1528464864 | Luticia Morgan Hardy | Nurse Practitioner | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2014-11-14 |
1699068973 | Preston Heath Leonard | Pediatrics | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2011-05-19 |
1881838225 | Kimberly Dawn Millsap | Advanced Practice Midwife | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2009-04-29 |
1982880969 | Letisha Nicole Atkins | Nurse Practitioner | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2008-01-21 |
1265621999 | Macie Lane Goff | Advanced Practice Midwife | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2007-10-18 |
1629134606 | Tammy Watkins Williams | Pediatrics | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2006-12-28 |
1184784464 | Katherine Johnson Fields | Pediatrics | 200 Gentilly Blvd, Cartersville, GA 30120-8504 | 2006-12-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
Find all providers in zip 30120 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316276512 | Women's Surgical Center | Clinic/Center | 958 Joe Frank Harris Pkwy Se Bldg A, Suite 107, Cartersville, GA 30120-2175 | 2009-12-17 |
1578748620 | Georgia Bone and Joint Surgeons, P.C. | Clinic/Center | 15 Medical Dr Ne Ste 101, Cartersville, GA 30121-8005 | 2008-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372963 | Alliance Surgery Center At Peachtree City LLC | Clinic/Center | 1975 Highway 54 W Ste 105, Peachtree City, GA 30269-4794 | 2020-09-29 |
1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
Find all providers with the same taxonomy |
City | CARTERSVILLE |
Zip Code | 30120 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.