HARBIN CLINIC, LLC (NPI# 1487993739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487993739 |
| Entity Type | Organization |
| Organization Name | HARBIN CLINIC, LLC |
| Other Organization Name | HARBIN CLINIC CARTERSVILLE HOME DIALYSIS |
| Practice Address |
150 Gentilly Blvd Cartersville GA 30120-8522 |
| Mailing Address |
1825 Martha Berry Blvd Nw Rome GA 30165-1625 |
| Practice Telephone | 7062955331 |
| Mailing Telephone | 7062955331 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2015-12-01 |
| Authorized Official Name | KENNETH FRANKLIN DAVIS (PRESIDENT & CEO) |
| Authorized Official Telephone | 7062955331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | HARBIN CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
ESRD000707 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Harbin Clinic Cartersville Home Dialysis | Doing Business As Name - 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 |
| 1467016055 | Harbin Clinic, LLC | Clinic/Center | 200 Gentilly Blvd, Cartersville, GA 30120 | 2019-04-29 |
| 1982091294 | Harbin Clinic, LLC | Clinic/Center | 855 Curtis Pkwy Se, Calhoun, GA 30701-3688 | 2015-04-24 |
| 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 |
150 GENTILLY BLVD |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-8522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981345 | Sheri C Marshall | Audiologist | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2005-06-10 |
| 1770118598 | Bernard Gitau Muthoni | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2020-03-12 |
| 1902437239 | Margaret Law Will | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2020-01-27 |
| 1962045773 | Kelvin Dremont Turks | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2019-10-24 |
| 1548810310 | Wendy Wade Pone | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2019-09-13 |
| 1508414327 | Alexandra Mary Stanojev | Physical Therapist | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2019-08-27 |
| 1174170385 | Justin Youtsey | Physical Therapist | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2019-08-22 |
| 1568943801 | Amy E. Howe | Physical Therapist | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2018-08-24 |
| 1609357177 | Tiffany Monet' Lambert-lucas | Physical Therapist | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2018-08-23 |
| 1992286454 | Audrey Jordan Sherles | Physical Therapist | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2018-08-23 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588109169 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 60 Slopes Dr, Cartersville, GA 30120-7965 | 2017-01-05 |
| 1013393321 | Cartersville Dialysis Spa LLC | Clinic/Center | 40 Slopes Dr, Cartersville, GA 30120-7965 | 2015-08-10 |
| 1528170339 | Bio-medical Applications of Georgia, Inc. | Clinic/Center | 14 Roving Rd, Cartersville, GA 30121-2216 | 2006-08-31 |
| 1871548800 | Isd Renal Inc | Clinic/Center | 419 E Main St, Cartersville, GA 30121-3349 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190207 | Usrc Powder Springs Home LLC | Clinic/Center | 3721 New Macland Rd Ste 100b, Powder Springs, GA 30127-2000 | 2020-10-08 |
| 1083229280 | Bio- Medical Applications of Georgia, Inc. | Clinic/Center | 145 W Hendry St, Hinesville, GA 31313-3201 | 2020-09-14 |
| 1336759463 | Plattaz Dialysis, LLC | Clinic/Center | 100 Promenade Pkwy Ste C, Fayetteville, GA 30214-7735 | 2020-08-04 |
| 1174140743 | Home Dialysis Services Norcross LLC | Clinic/Center | 3780 Holcomb Bridge Rd Ste E, Norcross, GA 30092-4877 | 2020-06-30 |
| 1265058275 | Dialysis Care Center Pleasant Hill LLC | Clinic/Center | 1425 Georgia Ave Ste 102, Macon, GA 31201-6546 | 2020-06-25 |
| 1598389132 | Concerto Georgia LLC | Clinic/Center | 655 Exchange Cir Ste 100, Bethlehem, GA 30620-1767 | 2020-05-29 |
| 1629607098 | Rutledge Dialysis, LLC | Clinic/Center | 1719 New Hope Rd, Lawrenceville, GA 30045-6570 | 2020-04-07 |
| 1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
| 1659915882 | Filmore Dialysis, LLC | Clinic/Center | 4555 Atlanta Hwy Ste M, Loganville, GA 30052-2646 | 2019-10-31 |
| 1013562818 | Menca Dialysis, LLC | Clinic/Center | 3030 Headland Dr Sw Ste C, Atlanta, GA 30311-5435 | 2019-08-08 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on HARBIN CLINIC, LLC.
| 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.