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LEGACY PRIMARY HEALTH LLC
NPI 1124998711
Family Medicine in Grand Rapids, MI

Active since November 07, 2025
5165 NORTHLAND DR NE, GRAND RAPIDS, MI 49525(843) 990-1965 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Primary Health Llc NPPES

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

LEGACY PRIMARY HEALTH LLC (NPI 1124998711) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since November 2025. The organization lists Vanessa Stevens, Manager, as its authorized official.

NPPES Registry Identity

NPI1124998711
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEGACY PRIMARY HEALTH LLC
Location Address5165 NORTHLAND DR NEGrand Rapids, MI 49525-1015
Mailing Address5165 Northland Dr NeGrand Rapids, MI 49525-1015
Phone(843) 990-1965
Organization SubpartNo
Authorized OfficialVanessa StevensManager · (843) 990-1965
Enumeration DateNovember 7, 2025
NPPES CertifiedNovember 7, 2025
✔ NPI 1124998711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5165 NORTHLAND DR NE, Grand Rapids, MI 49525
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

VANESSA STEVENS FNP-BC
Nurse Practitioner
5165 NORTHLAND DR NE
GRAND RAPIDS, MI 49525
Kent County (843) 990-1965
GLEGEN MEDICAL PLLC
Internal Medicine
5165 NORTHLAND DR NE
GRAND RAPIDS, MI 49525
Kent County (877) 340-1697
DR. HANNAH CATHERINE STUCK
Nurse Practitioner (Primary Care)
5165 NORTHLAND DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 386-1840

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 Legacy Primary Health LLC's NPI number?

The NPI number for Legacy Primary Health LLC is 1124998711. It was assigned to this organization in the NPPES registry on November 7, 2025.

Where is Legacy Primary Health LLC located?

Legacy Primary Health LLC is located at 5165 Northland Dr NE, Grand Rapids, MI 49525. The listed phone number is (843) 990-1965.

What is Legacy Primary Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Legacy Primary Health LLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.