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DR. JAMES LEWIS FENLEY JR. M.D.
NPI 1508819269
Internal Medicine in Orange City, FL

Active since May 17, 2006PECOS Enrolled
2583 S VOLUSIA AVE STE 200, ORANGE CITY, FL 32763(386) 960-7830(386) 960-7833 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2018, Aug 2, 2018 (2 updates tracked since 2018).

About Dr. James Lewis Fenley Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES LEWIS FENLEY JR. M.D. (NPI 1508819269) is an individual internal medicine provider in Orange City, Florida, licensed in Florida (ME127760) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508819269
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES LEWIS FENLEY JR.Credential: M.D.
Location Address2583 S VOLUSIA AVE STE 200Orange City, FL 32763-9129
Mailing Address2583 S Volusia Ave Ste 200Orange City, FL 32763-9129 · (386) 960-7830 · Fax (386) 960-7833
Phone(386) 960-7830
Fax(386) 960-7833
Sole ProprietorYes
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 8, 20182 updates tracked since enumeration
✔ NPI 1508819269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME127760
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License ME127760 (FL), 034584 (GA)
2583 S VOLUSIA AVE STE 200, Orange City, FL 32763
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Other Identifiers 2

Medicaid055002903AGA
Other11BDLZQGA · Medicare Unspec

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Lewis Fenley Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Fenley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sma Healthcare Inc
9.4 mi
Mental Health (Including Community Mental Health Center)
1255 N STONE STREET
Deland, FL 32720
  • Reassigned Medicare billing, Florida enrollment
  • 114 clinicians in this Medicare group
NPI 1902769714 (800) 539-4228

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARDCHOICES LLC
Internal Medicine
2583 S VOLUSIA AVE STE 200
ORANGE CITY, FL 32763
Volusia County (386) 960-7830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Fenley's NPI number?

The NPI number for James Fenley is 1508819269. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is James Fenley located?

James Fenley practices at 2583 S Volusia Ave Ste 200, Orange City, FL 32763. The listed phone number is (386) 960-7830.

What is James Fenley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Fenley enrolled in Medicare?

Yes. James Fenley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Fenley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fenley reassigns Medicare benefits to Sma Healthcare Inc (Deland, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Fenley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fenley accept?

Health plans from Ambetter Health, Ambetter of Alabama and Florida Blue (BlueCross BlueShield FL) list James Fenley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Fenley was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.