HARBIN CLINIC HEMATOLOGY ONCOLOGY (NPI# 1639495369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639495369 |
| Entity Type | Organization |
| Organization Name | HARBIN CLINIC HEMATOLOGY ONCOLOGY |
| Practice Address |
255 W 5th St Sw Rome GA 30165-2817 |
| Mailing Address |
221 Technology Pkwy Nw Rome GA 30165-1369 |
| Practice Telephone | 7065289110 |
| Practice Fax Number | 7065289113 |
| Mailing Telephone | 7622351000 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | KENNETH F. DAVIS (PRESIDENT) |
| Authorized Official Telephone | 7622351000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | HARBIN CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
255 W 5TH ST SW |
| City | ROME |
| State | GA |
| Zip Code | 30165-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703181 | Lisa Pinkard Acree | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-01-09 |
| 1386136539 | Jaime Elaine Pesl | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2018-06-04 |
| 1316470867 | Nina Anzie Emeline Botouli | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2017-04-11 |
| 1275074387 | Whitney Leigh Worthy | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2017-03-09 |
| 1538413513 | Joy R Mcgee | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2012-10-30 |
| 1184923492 | Harbin Clinic LLC | Pharmacy | 255 W 5th St Sw, Rome, GA 30165-2817 | 2011-03-25 |
| 1568789261 | Gregory Everett Harris | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165 | 2010-04-21 |
| 1669538096 | Janice Gribble Hopkins | Nurse Practitioner | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-12-29 |
| 1184789315 | Thomas Alvin Simpson Jr. | Internal Medicine | 255 W 5th St Sw, Rome, GA 30165-2817 | 2006-12-27 |
| 1952466138 | James Joseph Santoro | Radiology | 255 W 5th St Sw, Rome, GA 30165-2819 | 2006-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851808539 | Floyd Healthcare Management, Inc. | Non-Pharmacy Dispensing Site | 100 E 1st Ave, Rome, GA 30161-3212 | 2018-01-04 |
| 1881101566 | Floyd Healthcare Management, Inc. | Non-Pharmacy Dispensing Site | 5 Douglas St Se, Rome, GA 30161-6984 | 2018-01-04 |
| 1487161162 | Floyd Healthcare Management, Inc. | Non-Pharmacy Dispensing Site | 333 Old Lindale Rd Se, Rome, GA 30161-6769 | 2018-01-04 |
| 1033563135 | Floyd Healthcare Management, Inc | Non-Pharmacy Dispensing Site | 302 Shorter Ave Nw, Rome, GA 30165-4268 | 2016-04-15 |
| 1104380278 | Floyd Healthcare Management, Inc | Non-Pharmacy Dispensing Site | 4159 Martha Berry Hwy Nw, Rome, GA 30165-7705 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740823202 | Gwinnett Pulmonary Group Duluth | Non-Pharmacy Dispensing Site | 3855 Pleasant Hill Rd Ste 180, Duluth, GA 30096-8093 | 2019-10-28 |
| 1063061315 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1280 Dogwood Dr Se, Conyers, GA 30013-5046 | 2019-09-10 |
| 1659929339 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1975 Highway 54 W Ste 200, Peachtree City, GA 30269-4794 | 2019-08-27 |
| 1801444591 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 2326 Highway 34 E Ste 200, Newnan, GA 30265-1328 | 2019-08-27 |
| 1225686991 | Ankle and Foot Centers of Georgia, LLC | Non-Pharmacy Dispensing Site | 1819 Peachtree Rd Ne Ste 103, Atlanta, GA 30309-1848 | 2019-08-27 |
| 1265995724 | Georgia Urology Pa | Non-Pharmacy Dispensing Site | 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 | 2019-04-11 |
| 1861980955 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 4763 Atlanta Hwy Ste 420, Loganville, GA 30052-6788 | 2018-04-25 |
| 1184111338 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 10945 State Bridge Rd Ste 901, Alpharetta, GA 30022-8164 | 2018-04-13 |
| 1538666854 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 1575 Mount Vernon Rd, Dunwoody, GA 30338-4146 | 2018-04-12 |
| 1811494156 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 6063 Peachtree Pkwy Ste 210a, Peachtree Corners, GA 30092-3303 | 2018-04-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.