Harbin Clinic, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

HARBIN CLINIC, LLC

Practice address

255 W 5TH St SW
Rome, GA 30165-2817

Phone

(706) 528-9110

Fax

(706) 528-9113

NPI assigned

Apr 20, 2010

Last updated

Nov 14, 2024By 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 F. Davis, MD

Title

President

Phone

(762) 235-1000

Specialties & licenses 1

Addresses

Part of

Harbin Clinic Laboratory

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 Inpatient Psych Unit

  • Psychiatric Hospital Unit
  • Concord, NC
  • NPI 1629283866

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1639495369",
    "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": "255 W 5TH ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652817",
            "telephone_number": "706-528-9110",
            "fax_number": "706-528-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBIN CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBIN CLINIC, LLC",
        "enumeration_date": "2010-04-20",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "762-235-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harbin Clinic, LLC
• Harbin Clinic, LLC (Harbin GI)
• Harbin Clinic, LLC
• Harbin Clinic, LLC
• Harbin Clinic, LLC
• Harbin Clinic, LLC (Harbin Clinic)
• Harbin Clinic, LLC (Harbin Clinic Dialysis Center)
• Bannester Lester Harbin Jr., MD
• Buford Goodwin Harbin, MD
• Frank Rockwell Harbin, PHD

• Non-Pharmacy Dispensing Site in Rome, GA
• Providers in Rome, GA by specialty
• Non-Pharmacy Dispensing Site in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.