Hardy Renew Wellness,llc - Medicare Primary Care in Marietta, GA

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Hardy Renew Wellness,llc is a medicare enrolled primary clinic (Internal Medicine) in Marietta, Georgia. The current practice location for Hardy Renew Wellness,llc is 838 Cannon Run Sw, Marietta, Georgia. For appointments, you can reach them via phone at (423) 443-9956. The mailing address for Hardy Renew Wellness,llc is 1430 Georgia Ave, East Point, Georgia and phone number is (212) 734-6621.

Hardy Renew Wellness,llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1952914368. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (423) 443-9956.

Contact Information

Hardy Renew Wellness,llc
838 Cannon Run Sw
Marietta
GA 30064-4600
(423) 443-9956
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameHardy Renew Wellness,llc
SpecialityInternal Medicine
Location838 Cannon Run Sw, Marietta, Georgia
Authorized Official Name and PositionLeanthony Hardy (OWNER)
Authorized Official Contact2127346621
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hardy Renew Wellness,llc
1430 Georgia Ave
East Point
GA 30344-4329

Ph: (212) 734-6621		Hardy Renew Wellness,llc
838 Cannon Run Sw
Marietta
GA 30064-4600

Ph: (423) 443-9956

NPI Details:

NPI Number1952914368
Provider Enumeration Date08/25/2020
Last Update Date05/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2961812425
Medicare Enrollment IDO20201112000534

Medical Identifiers

Medical identifiers for Hardy Renew Wellness,llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952914368NPI-NPPES
1629053277OtherGANPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Hardy Renew Wellness,llc acts as a billing entity for following providers:
Provider NameJames Rogan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982704300
PECOS PAC ID: 5597740217
Enrollment ID: I20040618000574
Provider NameLeanthony A Hardy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629053277
PECOS PAC ID: 5395722185
Enrollment ID: I20040630000359
Provider NameXavier C Moore
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982787297
PECOS PAC ID: 7810924594
Enrollment ID: I20050725000692
Provider NameBernard G Taylor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356441737
PECOS PAC ID: 2062414287
Enrollment ID: I20081007000661
Provider NameTerry L Dickerson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1598766313
PECOS PAC ID: 7012070741
Enrollment ID: I20090107000209
Provider NameAnand Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669705505
PECOS PAC ID: 9436295227
Enrollment ID: I20100816000046
Provider NameEmem B Udo
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1801073465
PECOS PAC ID: 0749476299
Enrollment ID: I20101123000150
Provider NameCalita S Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528295078
PECOS PAC ID: 5193902302
Enrollment ID: I20110615000308
Provider NameTiwalade Olawuyi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114212115
PECOS PAC ID: 3375711039
Enrollment ID: I20110722000678
Provider NameConstance B Knowles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821372236
PECOS PAC ID: 1951574037
Enrollment ID: I20111107000005
Provider NameCarol S Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932258274
PECOS PAC ID: 8820231947
Enrollment ID: I20130821000273
Provider NameMonifa K Montique
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790188605
PECOS PAC ID: 2163741661
Enrollment ID: I20150505002053
Provider NameAlvin F Cowans
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164812202
PECOS PAC ID: 9739496944
Enrollment ID: I20150921003205
Provider NameErica T Isom
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285991588
PECOS PAC ID: 7618286287
Enrollment ID: I20151021002353
Provider NameMariana Sirbu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629445192
PECOS PAC ID: 0244540466
Enrollment ID: I20151030000297
Provider NameBenjamin Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104212869
PECOS PAC ID: 4385930924
Enrollment ID: I20160908001685
Provider NameLashaun Denise Elliott
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1497074298
PECOS PAC ID: 8628225240
Enrollment ID: I20161003000860
Provider NameNicole L Mosley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700324043
PECOS PAC ID: 4183908346
Enrollment ID: I20170307001595
Provider NameRoberta A Walters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053840959
PECOS PAC ID: 6103190491
Enrollment ID: I20170926001310
Provider NameLilian Mugwede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629580196
PECOS PAC ID: 6002198611
Enrollment ID: I20180518002524
Provider NameDana M Knight-king
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831598721
PECOS PAC ID: 0244544625
Enrollment ID: I20180519000089
Provider NameSasha Morton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518488972
PECOS PAC ID: 2769739937
Enrollment ID: I20180718003461
Provider NameTarsha Chamaine Kennedy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497244875
PECOS PAC ID: 3476800301
Enrollment ID: I20180723003146
Provider NameChantal Cesar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992214068
PECOS PAC ID: 6002165438
Enrollment ID: I20180819000007
Provider NameCarroll G Odem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144224957
PECOS PAC ID: 0143289249
Enrollment ID: I20180906003344
Provider NameMarla Kiser Buie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275049322
PECOS PAC ID: 3274886908
Enrollment ID: I20181026001999
Provider NameChristie E Parker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730664582
PECOS PAC ID: 1355695057
Enrollment ID: I20181115002463
Provider NameBrooklyn Hammonds Luzzi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356848733
PECOS PAC ID: 1355695982
Enrollment ID: I20181116000914
Provider NameBelinda I Opara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114437704
PECOS PAC ID: 4284971375
Enrollment ID: I20190128002337
Provider NameChristen S Weber
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619395506
PECOS PAC ID: 7618219502
Enrollment ID: I20190424002033
Provider NameRacheal O Sowole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356803357
PECOS PAC ID: 6305189432
Enrollment ID: I20190513002189
Provider NameYolette Lafontant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205316395
PECOS PAC ID: 9436492568
Enrollment ID: I20190513002466
Provider NameMarvet Wint
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386036895
PECOS PAC ID: 1254664865
Enrollment ID: I20190613002902
Provider NameTamu A. Spruill Barton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164953279
PECOS PAC ID: 6002143393
Enrollment ID: I20190808003422
Provider NameMonique Jennifer Stage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174048474
PECOS PAC ID: 5991134389
Enrollment ID: I20200406003379
Provider NameTroy Dennis Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194146720
PECOS PAC ID: 4880025063
Enrollment ID: I20200504002888
Provider NamePamela Bethel-wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013404292
PECOS PAC ID: 1850645540
Enrollment ID: I20200730002214
Provider NameIbijoke Olubunmi Solanke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831677582
PECOS PAC ID: 1658657549
Enrollment ID: I20201228001383
Provider NameJoan Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154785335
PECOS PAC ID: 2668763855
Enrollment ID: I20210127003264
Provider NameVictoria Oluyemi O'babatunde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881224657
PECOS PAC ID: 8022424720
Enrollment ID: I20210304000000
Provider NameTychelle Yvette Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134648595
PECOS PAC ID: 0547527798
Enrollment ID: I20210309001991
Provider NameDana Michele Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174111892
PECOS PAC ID: 3375951957
Enrollment ID: I20210420001853
Provider NameVanessa Latimer Copeland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548761000
PECOS PAC ID: 2466716188
Enrollment ID: I20210506001982
Provider NameHeather M. Mclaughlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861032187
PECOS PAC ID: 2062840812
Enrollment ID: I20210726002596
Provider NameBabatunde Madamidola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942881255
PECOS PAC ID: 0749683894
Enrollment ID: I20210727001616
Provider NameBarbara Terica Dunbar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588872253
PECOS PAC ID: 3779825708
Enrollment ID: I20210827000281
Provider NameBriana Watkins Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548937618
PECOS PAC ID: 2668861204
Enrollment ID: I20211119001172
Provider NameAmy Elizabeth Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518564525
PECOS PAC ID: 9931590445
Enrollment ID: I20211216002488
Provider NameNathacha Lorquet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407481864
PECOS PAC ID: 5698168086
Enrollment ID: I20220208000205
Provider NameLaura Barber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417618273
PECOS PAC ID: 2365835279
Enrollment ID: I20220216001652
Provider NameNicole L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790393064
PECOS PAC ID: 0345634119
Enrollment ID: I20220222001429
Provider NameGaboy Jupiter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033656715
PECOS PAC ID: 0648554758
Enrollment ID: I20220309000909
Provider NamePriti V Jindal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003850322
PECOS PAC ID: 3375592322
Enrollment ID: I20220329000694
Provider NameEtoy N Flemmings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750038659
PECOS PAC ID: 2769879022
Enrollment ID: I20220505000526
Provider NameJacqueline Quintero
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1992101075
PECOS PAC ID: 6305160508
Enrollment ID: I20220526001748
Provider NameMarrissa Lynn Bryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558964684
PECOS PAC ID: 5799163549
Enrollment ID: I20220607000826
Provider NameNedra Heath
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407514615
PECOS PAC ID: 8426439183
Enrollment ID: I20220713001610
Provider NameLatoya Venise Montfort
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528695137
PECOS PAC ID: 6800277179
Enrollment ID: I20220718002054
Provider NameNedege Raybourne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386125516
PECOS PAC ID: 2668854480
Enrollment ID: I20220726003438
Provider NameMarie Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396470688
PECOS PAC ID: 0941683767
Enrollment ID: I20220811001952
Provider NameSharika Tillman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154057990
PECOS PAC ID: 8729455233
Enrollment ID: I20221111001342
Provider NameBrian Lee
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1669856894
PECOS PAC ID: 7012275894
Enrollment ID: I20221222001952
Provider NameJessica Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023639457
PECOS PAC ID: 7214307123
Enrollment ID: I20230110000496
Provider NameSusan Rollan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144938473
PECOS PAC ID: 0345610150
Enrollment ID: I20230111002188
Provider NameIlyasah Byfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841478187
PECOS PAC ID: 3173699295
Enrollment ID: I20230125000907
Provider NameSabiha K Kaiser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760195226
PECOS PAC ID: 9234500364
Enrollment ID: I20230126003494
Provider NameRhonda Felicia Lomax
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538651278
PECOS PAC ID: 2567834385
Enrollment ID: I20230203001869
Provider NameMarjean Tyndale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992268908
PECOS PAC ID: 2365817574
Enrollment ID: I20230330003048
Provider NameRenita Walls
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780381657
PECOS PAC ID: 2860867009
Enrollment ID: I20230331001387
Provider NameMarie Candy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548517063
PECOS PAC ID: 9931354602
Enrollment ID: I20230403001285
Provider NameUgomma Abanukam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609580471
PECOS PAC ID: 2567827330
Enrollment ID: I20230501000215
Provider NameLorraine Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356966717
PECOS PAC ID: 9032593777
Enrollment ID: I20230510001168
Provider NameAjibola Babatunde
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1629573936
PECOS PAC ID: 0143570770
Enrollment ID: I20230522002010
Provider NameSydney Colon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508551367
PECOS PAC ID: 7214394956
Enrollment ID: I20230612000911
Provider NameAdrianne Crane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891264792
PECOS PAC ID: 3870924335
Enrollment ID: I20230623002245
Provider NameTanya Boyd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922707025
PECOS PAC ID: 3779941547
Enrollment ID: I20230627000680
Provider NameBolanle Olubunmi Adedokun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215510268
PECOS PAC ID: 5799148904
Enrollment ID: I20230905002905
Provider NameSara Graves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295324895
PECOS PAC ID: 0143625111
Enrollment ID: I20230905003098
Provider NameHaika Gloria Kisamo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528741436
PECOS PAC ID: 0143684688
Enrollment ID: I20230915002612
Provider NameCrystal Collier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710514484
PECOS PAC ID: 0446607691
Enrollment ID: I20231108003541
Provider NameAchangwo Mary Lekeaka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568235661
PECOS PAC ID: 2365890712
Enrollment ID: I20231127001592
Provider NameKendra Bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346900065
PECOS PAC ID: 8325432446
Enrollment ID: I20231208002128
Provider NameAdwoa Aninkorah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831674340
PECOS PAC ID: 4880045707
Enrollment ID: I20240104003418
Provider NameCamille Lindo-wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902402118
PECOS PAC ID: 6204245434
Enrollment ID: I20240209001354
Provider NameKaren Felicia Stephens-vasser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790427631
PECOS PAC ID: 7416391842
Enrollment ID: I20240214000202
Provider NameSenelisiwe Nozipho Ncube
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457125700
PECOS PAC ID: 3678917762
Enrollment ID: I20240216001369
Provider NameAudrey Marcel Mitchell-carpenter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205699816
PECOS PAC ID: 5294170437
Enrollment ID: I20240228000950

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.