Harbin Clinic, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

ESRD000707 Issued in GA

Legal business name

HARBIN CLINIC, LLC

Doing business as

Harbin Clinic Cartersville Home Dialysis

Practice address

150 Gentilly Blvd
Cartersville, GA 30120-8522

Phone

(706) 295-5331

NPI assigned

Feb 6, 2013

Last updated

Dec 1, 2015By 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 & Ceo

Phone

(706) 295-5331

Specialties & licenses 1

Addresses

Other names 1

• Harbin Clinic Cartersville Home Dialysis Doing business as

Part of

Harbin Clinic LLC

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1487993739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651625",
            "telephone_number": "706-295-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GENTILLY BLVD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208522",
            "telephone_number": "706-295-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBIN CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBIN CLINIC, LLC",
        "enumeration_date": "2013-02-06",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "706-295-5331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "GA",
            "license": "ESRD000707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbin Clinic Cartersville Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David E Hallstrand Jr., M.D.
• Theresa Hamrick, CPNP
• Hand Therapy Services, Inc.
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Harbin Clinic, LLC
• Harbin Clinic, LLC (Harbin Clinic at Cartersville)
• Harbin Clinic, LLC
• Tracy Harbut, M.D.
• Susanne Hardin, LPN
• Luticia Morgan Hardy, CPNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cartersville, GA
• Providers in Cartersville, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.