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LEGACY PHYSICIAN CONSULTANTS, LLC
NPI 1508605668
Internal Medicine in Baldwin, GA

Active since May 20, 2024
209 PEACH ORCHARD RD, BALDWIN, GA 30511(706) 713-1904 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Legacy Physician Consultants, Llc NPPES

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

LEGACY PHYSICIAN CONSULTANTS, LLC (NPI 1508605668) is a healthcare organization registered as an internal medicine in Baldwin, Georgia and active in the NPI registry since May 2024. The organization maintains 2 additional practice locations and lists Michael William Myers, Coo, as its authorized official.

NPPES Registry Identity

NPI1508605668
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLEGACY PHYSICIAN CONSULTANTS, LLC
Location Address209 PEACH ORCHARD RDBaldwin, GA 30511-1803
Mailing Address555 Forest RdAthens, GA 30605-3823 · (706) 502-0503
Phone(706) 713-1904
Organization SubpartNo
Authorized OfficialMichael William MyersCoo · (706) 502-0503
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1508605668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 ListedFamily MedicineTaxonomy 207Q00000X
209 PEACH ORCHARD RD, Baldwin, GA 30511
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Secondary Practice Locations 2

Location 1960 Hawthorne AveAthens, GA 30606-2140 · Phone (706) 713-1904
Location 2633 Falls RdToccoa, GA 30577-1607 · Phone (706) 713-1904

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Physician Consultants, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Legacy Physician Consultants, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Dipal Patel, MD
Internal Medicine
NPI 1922568203
1270 PRINCE AVE STE 201
Athens, GA 30606
(706) 475-7055
✔ PECOS✔ Accepts Medicare38 mi
Marie Leblanc-Riley, NP-C
Nurse Practitioner
NPI 1790145563
1199 PRINCE AVE
Athens, GA 30606
(706) 475-5075
✔ PECOS✔ Accepts Medicare38 mi
Arpit Shah, MD
Internal Medicine
NPI 1083844518
1199 PRINCE AVE
Athens, GA 30606
(706) 475-7000
✔ PECOS✔ Accepts Medicare38 mi
Gregory Wilkerson, AGACNP-BC
Nurse Practitioner
NPI 1053950246
595 HURRICANE SHOALS RD NW
Lawrenceville, GA 30046
(770) 995-7802
✔ PECOS✔ Accepts Medicare46 mi
Anthony Sagel, MD
Internal Medicine
NPI 1871530303
5671 PEACHTREE DUNWOODY RD NE SUITE 275
Atlanta, GA 30342
(404) 851-7990
✔ PECOS✔ Accepts Medicare62 mi
Pramod Kakarala, M.D.
Internal Medicine
NPI 1972881795
35 COLLIER RD NW SUITE 635
Atlanta, GA 30309
(404) 367-3014
✔ PECOS✔ Accepts Medicare68 mi
Linda Idun, MD
Hospitalist
NPI 1609047844
1141 N MONROE DR
Xenia, OH 45385
(937) 352-2581
✔ PECOS✔ Accepts Medicare359 mi

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

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 Physician Consultants, LLC's NPI number?

The NPI number for Legacy Physician Consultants, LLC is 1508605668. It was assigned to this organization in the NPPES registry on May 20, 2024.

Where is Legacy Physician Consultants, LLC located?

Legacy Physician Consultants, LLC is located at 209 Peach Orchard Rd, Baldwin, GA 30511. The listed phone number is (706) 713-1904.

What is Legacy Physician Consultants, LLC's specialty?

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

Is Legacy Physician Consultants, LLC enrolled in Medicare?

Yes. Legacy Physician Consultants, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Physician Consultants, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Legacy Physician Consultants, LLC. A 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 the clinician's services. The largest specialties are Internal Medicine (4), Nurse Practitioner (2) and Hospitalist (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Legacy Physician Consultants, LLC was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.