Hardchoices LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME-122760 Issued in NU

Legal business name

HARDCHOICES LLC

Practice address

2583 S Volusia Ave Ste 200
Orange City, FL 32763-9129

Phone

(386) 960-7830

Fax

(386) 960-7833

NPI assigned

Sep 10, 2007

Last updated

Jul 26, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Lewis Fenley Jr., MDNPI 1508819269

Title

Owner

Phone

(386) 960-7830

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Lewis Fenley Jr., M.D.

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1508819269
  Authorized official Same address or phone

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1740475052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 PHOENIX BLVD",
            "address_2": "SUITE 338",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495592",
            "telephone_number": "678-604-0891",
            "fax_number": "678-604-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 S VOLUSIA AVE STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327639129",
            "telephone_number": "386-960-7830",
            "fax_number": "386-960-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDCHOICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "FENLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-960-7830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": "ME-122760",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPEC.",
            "identifier": "11BDLZQ",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05500293A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.