NPIMap

Organization Active NPI

Harbin Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Rome, GA
National Provider Identifier
1528111283
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HARBIN CLINIC, LLC
Practice address
101 John Maddox Dr NW
Rome, GA 30165-1419
Phone
(706) 378-4600
Fax
(706) 378-0043
NPI assigned
Jan 18, 2007
Last updated
Feb 5, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HARBIN CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

101 John Maddox Dr NW
Rome, GA 30165-1419

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000

Other names 1

  • Harbin Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Harbin Clinic Laboratory9 organizations share this tax ID, including this one
Part of
Harbin Clinic Laboratory

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 John Maddox Dr NW
Rome, GA 30165
Phone (706) 235-3332

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1528111283",
    "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": "101 JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651419",
            "telephone_number": "706-378-4600",
            "fax_number": "706-378-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBIN CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBIN CLINIC, LLC",
        "enumeration_date": "2007-01-18",
        "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": "NU",
            "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"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • 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.