Harbin Clinic, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HARBIN CLINIC, LLC

Practice address

14 Cherokee Rd
Cedartown, GA 30125-4381

Phone

(770) 749-9600

Fax

(770) 749-9628

NPI assigned

Jun 1, 2007

Last updated

Feb 5, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

HARBIN CLINIC, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Franklin Davis, MD

Title

President

Phone

(762) 235-1000

Specialties & licenses 1

Addresses

Other names 1

• Harbin Clinic Other name

Part of

Harbin Clinic LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Charlotte-Mecklenburg Hospital Authority

  dba Atrium Health Cabarrus

  • General Acute Care Hospital
  • Concord, NC
  • NPI 1487866315

  Member Of

  NPD member

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1447452644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CHEROKEE RD",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301254381",
            "telephone_number": "770-749-9600",
            "fax_number": "770-749-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBIN CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBIN CLINIC, LLC",
        "enumeration_date": "2007-06-01",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "762-235-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbin Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Harbin Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Arlisha Gray, MSW
• Connie Gresham, LPN
• Elysabeth Annah Griffin, CCC-SLP
• Jonathan N Griffin, PT
• Zeenat Hakim
• Harbin Clinic, LLC (Harbin Clinic Cedartown Dialysis Center)
• Whitley Hatch, OTR/L
• Rachel Hawkins
• Ronni Michelle Heard
• Pamela Diane Hearn, MD

• Durable Medical Equipment & Medical Supplies in Cedartown, GA
• Providers in Cedartown, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.