NPIMap

Harbin Clinic, LLC

Organization Active NPI Multi-Specialty Clinic/Center · Rome, GA

NPI 1679599088 · NPPES record last updated Dec 11, 2025

Key facts

NPI
1679599088
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
HARBIN CLINIC, LLC
Practice address
1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone
(762) 235-1470
Fax
(706) 238-8081
NPI assigned
Jul 15, 2006
Organization subpart
No

Authorized official

Name
Kenna Stock
Title
Ceo
Phone
(762) 235-1165

Other NPIs with the same Medicare PAC ID 3

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

Member of 1

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

Practitioners 409

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 409

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in GA, AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031124000117 GA Part B Supplier - Clinic/Group Practice 0446154231 Receives reassigned benefits from 356 practitioners
Practice locations: Rome, GA; Rockmart, GA; Marietta, GA; Summerville, GA; Chatsworth, GA; Acworth, GA; Adairsville, GA; Armuchee, GA…
O20051110000971 AL Part B Supplier - Clinic/Group Practice 0446154231 Receives reassigned benefits from 17 practitioners
Practice locations: Centre, AL; Fort Payne, AL; Rainsville, AL
O20100930014355 GA DME Supplier - Physician - Infectious Disease
DME Supplier - Physician - Family Practice
DME Supplier - Independently-Practicing Physical Therapist
DME Supplier - Multi-Specialty - Physician		 0446154231 Practice locations: Rome, GA

National Provider Directory

Locations (25 of 44)

391 Northwood Dr
Centre, AL 35960
Phone (251) 927-7412

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

900 Gault Ave S
#A
Fort Payne, AL 35967

900 Gault Ave S
Ste A
Fort Payne, AL 35967

3485 Acworth Due West Rd NW
Ste 150
Acworth, GA 30101
Phone (770) 529-0577

4550 Calibre Xing NW
Acworth, GA 30101

115 N Central Ave
Adairsville, GA 30103
Phone (470) 601-5650

5490 Martha Berry Hwy NE
Armuchee, GA 30105
Phone (706) 203-5735

260 Hospital Rd
Canton, GA 30114
Phone (678) 880-3939

3753 Marietta Hwy
Canton, GA 30114

115 Ambulance Dr
Carrollton, GA 30117
Phone (770) 834-0212

970 Joe Frank Harris Pkwy SE
Ste 240
Cartersville, GA 30120
Phone (470) 490-1901

962 Joe Frank Harris Pkwy SE
#104
Cartersville, GA 30120
Phone (770) 386-0090

150 Gentilly Blvd
Fl 3
Cartersville, GA 30120

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

14 Roving Rd
Cartersville, GA 30121
Phone (770) 386-8168

958 Joe Frank Harris Pkwy SE
Ste 101A
Cartersville, GA 30120

970 Joe Frank Harris Pkwy SE
Ste 380A
Cartersville, GA 30120

150 Gentilly Blvd
Fl 2
Cartersville, GA 30120

14 Cherokee Rd
Cedartown, GA 30125
Phone (770) 748-2567

1725 Powder SPGS Rd SW 150
Marietta, GA 30064

4880 Lower Roswell Rd
Ste 770
Marietta, GA 30068
Phone (770) 321-0675

2060 Lower Roswell Rd
Ste 250
Marietta, GA 30068
Phone (770) 509-8530

2060 Lower Roswell Rd
Marietta, GA 30068

3721 New Macland Rd
Ste 100B
Powder Springs, GA 30127
Phone (470) 781-6220

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1825 Martha Berry Blvd NW
Rome, GA 30165-1625

Mailing address

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

Other names

  • Harbin Clinic Doing business as

Other providers in Rome, GA

All providers in Rome, GA · Multi-Specialty Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.