HARBIN CLINIC, LLC – NPI #1467016055
Clinic/Center

HARBIN CLINIC, LLC is an AHC clinic located in CARTERSVILLE, GA. NPPES has assigned the NPI number 1467016055 to HARBIN CLINIC, LLC on April 29, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Oct 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HARBIN CLINIC, LLC below.

NPI Profile for
HARBIN CLINIC, LLC

NPI Number
1467016055
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HARBIN CLINIC, LLC
Primary location
200 GENTILLY BLVD
CARTERSVILLE, GA 30120
Phone: (470) 490-6460 Fax: (678) 721-4386
Mailing address
221 TECHNOLOGY PKWY NW
ROME, GA 30165-1369
Phone: (762) 235-1000 Fax:
Organization Subpart
Yes - HARBIN CLINIC, LLC is subpart of another organization.
Authorized Official
KENNA STOCK
CEO MEDICAL GROUP
Phone: (762) 235-1165
Updated
Certification Date
Oct 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HARBIN CLINIC, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA003239105A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
64 S PRICE RD STE B,
BROWNSVILLE, TX 77025-1669