LEGACY PRIMARY CARE AND WELLNESS LLC
NPI 1508461070
Clinic/Center - Primary Care in Riverdale, GA

Q: What is Legacy Primary Care And Wellness's NPI number?

The NPI number for Legacy Primary Care And Wellness is 1508461070. It was assigned to this organization in the NPPES registry on December 2, 2020. The provider is also known as Legacy Primary Care And Wellness LLC.

Q: What is Legacy Primary Care And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since December 02, 2020

195 UPPER RIVERDALE RD SW STE B, RIVERDALE, GA 30274(770) 703-8465(770) 629-2392 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 12, 2021, Dec 2, 2020 (2 updates tracked since 2020).

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About Legacy Primary Care And Wellness Llc NPPES

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

LEGACY PRIMARY CARE AND WELLNESS LLC (NPI 1508461070) is a healthcare organization registered as a primary care in Riverdale, Georgia and active in the NPI registry since December 2020. The organization lists Betty Elizabeth Strong, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1508461070

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameLEGACY PRIMARY CARE AND WELLNESS

Location Address195 UPPER RIVERDALE RD SW STE BRiverdale, GA 30274-2518

Mailing Address195 Upper Riverdale Rd Sw Ste BRiverdale, GA 30274-2518 · (770) 703-8465 · Fax (770) 629-2392

Phone(770) 703-8465

Fax(770) 629-2392

Organization SubpartNo

Authorized OfficialBetty Elizabeth StrongPhysician/owner · (770) 703-8465

Enumeration DateDecember 2, 2020

Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration

NPPES CertifiedAugust 9, 2021

✔ NPI 1508461070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

195 UPPER RIVERDALE RD SW STE B, Riverdale, GA 30274

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Other Names 1

Other NameLegacy Primary Care And Wellness Llc

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 Care And Wellness's NPI number?

The NPI number for Legacy Primary Care And Wellness is 1508461070. It was assigned to this organization in the NPPES registry on December 2, 2020. The provider is also known as Legacy Primary Care And Wellness LLC.

Where is Legacy Primary Care And Wellness located?

Legacy Primary Care And Wellness is located at 195 Upper Riverdale Rd SW Ste B, Riverdale, GA 30274. The listed phone number is (770) 703-8465.

What is Legacy Primary Care And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Legacy Primary Care And Wellness was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.