NPIMap

Organization Active NPI

Hardy Renew Wellness,LLC

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1952914368
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HARDY RENEW WELLNESS,LLC
Practice address
838 Cannon Run SW
Marietta, GA 30064-4600
Phone
(423) 443-9956
NPI assigned
Aug 25, 2020
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Leanthony Hardy, MDNPI 1629053277
Title
Owner
Phone
(212) 734-6621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

838 Cannon Run SW
Marietta, GA 30064-4600

Mailing address

1430 Georgia Ave
East Point, GA 30344-4329
Phone (212) 734-6621

Other identifiers 1

IdentifierTypeStateIssuer
1629053277OtherGANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201112000534 GA Part B Supplier - Clinic/Group Practice 2961812425 Receives reassigned benefits from 138 practitioners
Practice locations: East Point, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 138

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.

View all 138

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1952914368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 GEORGIA AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444329",
            "telephone_number": "212-734-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 CANNON RUN SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644600",
            "telephone_number": "423-443-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDY RENEW WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "LEANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-734-6621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629053277",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.