1. Home
  2. Directory
  3. Michigan
  4. Lansing
  5. Specialist
  6. NPI Profile

LEGACY PHYSICIAN GROUP, P.C.
NPI 1801800719
Specialist in Lansing, MI

Active since July 28, 2006
1540 LAKE LANSING RD, 102, LANSING, MI 48912(517) 913-3900 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy Physician Group, P.c. NPPES

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

LEGACY PHYSICIAN GROUP, P.C. (NPI 1801800719) is a healthcare organization registered as a specialist in Lansing, Michigan and active in the NPI registry since July 2006. The organization lists Susan Therese Fedewa, President, as its authorized official.

NPPES Registry Identity

NPI1801800719
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLEGACY PHYSICIAN GROUP, P.C.
Location Address1540 LAKE LANSING RD, 102Lansing, MI 48912-3756
Mailing Address1540 Lake Lansing Rd Ste 203Lansing, MI 48912-3757 · (517) 913-6711 · Fax (517) 913-6712
Phone(517) 913-3900
Organization SubpartNo
Authorized OfficialSusan Therese FedewaPresident · (517) 913-6711
Enumeration DateJuly 28, 2006
Last NPPES UpdateFebruary 18, 2025
NPPES CertifiedFebruary 5, 2025
✔ NPI 1801800719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1540 LAKE LANSING RD, Lansing, MI 48912
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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.

DR. ROBERT J WOLF MD
Radiology (Diagnostic Radiology)
1540 LAKE LANSING RD, SUITE 107
LANSING, MI 48912
Ingham County (517) 913-3800
DR. HARRY JAMES MCCOY M.D.
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Ingham County (517) 913-3900
JILL MARIE-BURTON KNOX PA
Physician Assistant
1540 LAKE LANSING RD, SUITE G02
LANSING, MI 48912
Ingham County (517) 913-6650
DR. CYNTHIA S. BOYNTON M.D.
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Ingham County (517) 913-3900
MID-MICHIGAN PODIATRY, PC
Podiatrist (Foot & Ankle Surgery)
1540 LAKE LANSING RD, SUITE 102
LANSING, MI 48912
Ingham County (517) 913-3855
IRENE T BAKER NP
Nurse Practitioner
1540 LAKE LANSING RD, SUITE 205
LANSING, MI 48912
Ingham County (517) 913-3910
EDWARD W SPARROW HOSPITAL ASSOCIATION
Obstetrics & Gynecology
1540 LAKE LANSING RD, SUITE 205
LANSING, MI 48912
Ingham County (517) 913-3910
DR. CHAD MICHAEL GERRISH D.O.
Internal Medicine
1540 LAKE LANSING RD, SUITE 102
LANSING, MI 48912
Ingham County (517) 913-3810

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 Group, P.C.'s NPI number?

The NPI number for Legacy Physician Group, P.C. is 1801800719. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Legacy Physician Group, P.C. located?

Legacy Physician Group, P.C. is located at 1540 Lake Lansing Rd 102, Lansing, MI 48912. The listed phone number is (517) 913-3900.

What is Legacy Physician Group, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Legacy Physician Group, P.C. accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Legacy Physician Group, P.C. 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 Legacy Physician Group, P.C. was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.