QUADRIVIUM HEALTH LLC
NPI 1972212116
Clinic/Center - Urgent Care in Marietta, GA
About Quadrivium Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUADRIVIUM HEALTH LLC (NPI 1972212116) is a healthcare organization registered as an urgent care in Marietta, Georgia and active in the NPI registry since November 2022. The organization lists Leia Chatman Dawson, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Quadrivium Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Quadrivium Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Bold Legacy Practice, LLC's NPI number?
The NPI number for Bold Legacy Practice, LLC is 1972212116. It was assigned to this organization in the NPPES registry on November 16, 2022. The provider is doing business as Quadrivium Health LLC, American Family Care and Bold Legacy Management, LLC.
Where is Bold Legacy Practice, LLC located?
Bold Legacy Practice, LLC is located at 1401 Johnson Ferry Rd Ste 390, Marietta, GA 30062. The listed phone number is (470) 795-0047.
What is Bold Legacy Practice, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Bold Legacy Practice, LLC enrolled in Medicare?
Yes. Bold Legacy Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bold Legacy Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Bold Legacy Practice, 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 Nurse Practitioner (5) and Family Practice (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bold Legacy Practice, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bold Legacy Practice, LLC 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 Bold Legacy Practice, LLC was last updated on January 5, 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.
# Quadrivium Health Llc · NPI 1972212116
Urgent Care organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since November 16, 2022.
## Identity
- **NPI:** 1972212116 (Entity type: Organization)
- **Enumerated:** November 16, 2022
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Bold Legacy Practice, Llc
- **Also known as:** American Family Care (Doing Business As); Bold Legacy Management, LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Leia Dawson, MEDICAL DIRECTOR
## Practice location
- **Address:** 1401 JOHNSON FERRY RD STE 390, Marietta, GA 30062-9100
- **Phone:** (470) 795-0047
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972212116) · Data from the CMS NPPES public registry.