LEGACY HEALTH AND WELLNESS LLC
NPI 1467073189
Clinic/Center - Health Service in Conyers, GA

Q: What is Legacy Health And Wellness LLC's NPI number?

The NPI number for Legacy Health And Wellness LLC is 1467073189. It was assigned to this organization in the NPPES registry on May 5, 2020.

Q: What is Legacy Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since May 05, 2020

1775 PARKER RD SE STE 210, CONYERS, GA 30094(707) 731-7700 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Legacy Health And Wellness Llc NPPES

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

LEGACY HEALTH AND WELLNESS LLC (NPI 1467073189) is a healthcare organization registered as a health service in Conyers, Georgia and active in the NPI registry since May 2020. The organization lists Ronnette Frank, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1467073189

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameLEGACY HEALTH AND WELLNESS LLC

Location Address1775 PARKER RD SE STE 210Conyers, GA 30094-6654

Mailing Address1775 Parker Rd Se Ste 210Conyers, GA 30094-6654 · (707) 731-7700

Phone(707) 731-7700

Organization SubpartNo

Authorized OfficialRonnette FrankChief Compliance Officer · (770) 731-7700

Enumeration DateMay 5, 2020

NPPES CertifiedMay 5, 2020

✔ NPI 1467073189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

1775 PARKER RD SE STE 210, Conyers, GA 30094

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CRYSTAL N. BROUGHTON

Counselor (Professional)