QUADRIVIUM HEALTH LLC
NPI 1972212116
Clinic/Center - Urgent Care in Marietta, GA

Active since November 16, 2022
1401 JOHNSON FERRY RD STE 390, MARIETTA, GA 30062(470) 795-0047 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2024, Oct 31, 2023, Aug 21, 2023 and 3 more (6 updates tracked since 2022).

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

NPI1972212116
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBOLD LEGACY PRACTICE, LLC
Location Address1401 JOHNSON FERRY RD STE 390Marietta, GA 30062-9100
Mailing Address1117 Eagles Creek Way NwAcworth, GA 30101-4696 · (470) 795-0047
Organization SubpartNo
Authorized OfficialLeia Chatman DawsonMedical Director · (205) 907-5342
Enumeration DateNovember 16, 2022
Last NPPES UpdateJanuary 5, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
NPI 1972212116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/CenterTaxonomy 261Q00000X
1401 JOHNSON FERRY RD STE 390, Marietta, GA 30062

Other Names 3

Doing Business AsQuadrivium Health Llc
Doing Business AsAmerican Family Care
Doing Business AsBold Legacy Management, Llc

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Family Medicine
1401 JOHNSON FERRY RD STE 390
MARIETTA, GA 30062
Nurse Practitioner (Family)
1401 JOHNSON FERRY RD STE 390
MARIETTA, GA 30062
Clinic/Center
1401 JOHNSON FERRY RD STE 390
MARIETTA, GA 30062

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.

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.