Harbin Clinic, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HARBIN CLINIC, LLC

Doing business as

Harbin Clinic

Practice address

1825 Martha Berry Blvd NW
Rome, GA 30165-1625

Phone

(762) 235-1470

Fax

(706) 238-8081

NPI assigned

Jul 15, 2006

Last updated

Dec 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenna Stock

Title

Ceo

Phone

(762) 235-1165

Specialties & licenses 2

Addresses

Other names 1

• Harbin Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA, AL3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Harbin Clinic, LLC

  dba Harbin GI

  • Ambulatory Surgical Clinic/Center
  • Rome, GA
  • NPI 1447385158

  0446154231

  Same PAC ID
• Harbin Clinic, LLC

  • Ambulatory Surgical Clinic/Center
  • Cartersville, GA
  • NPI 1467016055

  0446154231

  Same PAC ID
• Harbin Clinic, LLC

  dba Harbin Clinic at Cartersville

  • Durable Medical Equipment & Medical Supplies
  • Cartersville, GA
  • NPI 1609084250

  0446154231

  Same PAC ID

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 (25 of 36)

Practitioners 410

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Christopher Abdou, MD

  • Radiation Oncology Physician
  • Rome, GA
  • NPI 1194885434
  Medicare reassignment Care Compare group NPD
• Afu Mohammad Abdul, MD

  • Nephrology Physician
  • Cartersville, GA
  • NPI 1285834838
  Medicare reassignment Care Compare group NPD
• Peter David Adams, MD

  • Surgery Physician
  • Rome, GA
  • NPI 1083843627
  Medicare reassignment Care Compare group NPD
• Katharine Marie Ammons, MD

  • Internal Medicine Physician
  • Rome, GA
  • NPI 1962562207
  Medicare reassignment Care Compare group NPD
• Bayle Dawn Anderson, AUD

  • Audiologist
  • Rome, GA
  • NPI 1730506148
  Medicare reassignment Care Compare group NPD
• Chasidy Symone Anderson, PA-C

  • Physician Assistant
  • Rome, GA
  • NPI 1558972174
  Medicare reassignment Care Compare group NPD
• Randall Montgomery Anderson Jr., MD

  • Orthopaedic Surgery Physician
  • Rome, GA
  • NPI 1053471300
  Medicare reassignment Care Compare group NPD
• Anandita Arora, MD

  • Internal Medicine Physician
  • Rome, GA
  • NPI 1154731925
  Medicare reassignment Care Compare group NPD
• Charles Brandon Baggett, MD

  • Cardiovascular Disease Physician
  • Rome, GA
  • NPI 1336357060

  AL

  Medicare reassignment Care Compare group NPD
• Joseph Wiley Baker, MD

  • Internal Medicine Physician
  • Rome, GA
  • NPI 1396805644
  Medicare reassignment Care Compare group NPD
• Rebeka Lynn Ball, FNP-C

  • Nurse Practitioner
  • Rome, GA
  • NPI 1619790854
  Medicare reassignment Care Compare group NPD
• Harsha Vardhan Reddy Banavasi, MD

  • Pulmonary Disease Physician
  • Rome, GA
  • NPI 1265843353
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1679599088",
    "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": "1825 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651625",
            "telephone_number": "762-235-1470",
            "fax_number": "706-238-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "KENNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "762-235-1165"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbin Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harbin Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Multi-Specialty Clinic/Center in Rome, GA
• Providers in Rome, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.