HARBIN CLINIC LLC NPI 1467016055

NPI Information

  • NPI: 1467016055
  • Provider Name: HARBIN CLINIC, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • Address: 200 GENTILLY BLVD
    CARTERSVILLE, GA
    ZIP 30120
  • Phone: (470) 490-6460

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NPI Details

HARBIN CLINIC, LLC is an ambulatory surgical clinic center in Cartersville, GA. HARBIN CLINIC, LLC NPI is 1467016055. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

200 GENTILLY BLVD
CARTERSVILLE, GA
ZIP 30120
Phone: (470) 490-6460
Fax: (678) 721-4386

The provider's authorized official is Kenna Stock .
The authorized official title is Ceo Medical Group and has the following contact phone number (762) 235-1165.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 4/29/2019 and was last updated on 10/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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