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Bold Primary LLC

Family Medicine Physician in Marietta, GA · enumerated 2023 · authorized official Leia Dawson, Medical Director/ Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275300287

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Registry record

Entity type Organization (Type 2)
Legal business name Bold Primary LLC
Other name <Unavail>
Practice address 1401 Johnson Ferry Rd Ste 390b, Marietta, GA, 30062
Fax (470) 235-7311
Enumeration date Dec 8, 2023
Last updated in NPPES May 13, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Leia Dawson
Title Medical Director/ Executive Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-05-13. Verify at npiregistry.cms.hhs.gov.
Where is Bold Primary LLC located?
The practice location on file with NPPES is in Marietta, GA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-13.