NPIMap

Organization Active NPI

Harbin Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cartersville, GA
National Provider Identifier
1952504201
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
958 Joe Frank Harris Pkwy SE BLDG a
Suite 101
Cartersville, GA 30120-2151
Phone
(770) 382-5919
Fax
(678) 721-4386
NPI assigned
Jun 6, 2007
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 Primary

Addresses

Primary practice location

958 Joe Frank Harris Pkwy SE BLDG a
Suite 101
Cartersville, GA 30120-2151

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
Cartersville Family Pra9 organizations share this tax ID, including this one
Part of
Cartersville Family Pra

Other organizations with this tax ID 8

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

Locations

958 Joe Frank Harris Pkwy SE
Bldg A101
Cartersville, GA 30120
Phone (770) 382-5919

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1952504201",
    "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": "958 JOE FRANK HARRIS PKWY SE BLDG A",
            "address_2": "SUITE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202151",
            "telephone_number": "770-382-5919",
            "fax_number": "678-721-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBIN CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARBIN CLINIC LLC",
        "enumeration_date": "2007-06-06",
        "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": null,
            "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 Cartersville, 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.