HARBIN CLINIC, LLC


Address: 200 Gentilly Blvd, Cartersville, GA 30120
Phone: 4704906460

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Harbin Clinic GI Lab Cartersville Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 200 GENTILLY BLVD
City CARTERSVILLE
State GA
Zip Code 30120

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City CARTERSVILLE
Zip Code 30120

Improve Information

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Dataset Information

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.

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