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Bold Legacy Practice, LLC

Bold Legacy Practice, LLC is a healthcare organization registered as Urgent Care Clinic/Center in Marietta, GA, holding Type 2 (organization) NPI 1972212116 since 2022. The authorized official on file is Leia Dawson, Medical Director.

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NPI 1972212116
Entity type Organization (Type 2)
Legal business name Bold Legacy Practice, LLC
Other name <Unavail>
Practice address 1401 JOHNSON FERRY RD STE 390, Marietta, GA, 30062
Phone 4707950047
Enumeration date 2022-11-16
Last updated in NPPES 2024-01-05

Authorized official

Name Leia Dawson
Title Medical Director
Phone 2059075342

Taxonomy & classification

Taxonomy code Specialty Primary License State
261Q00000X Clinic/Center Secondary
261QU0200X Urgent Care Clinic/Center Primary
Copy-ready billing details
Provider: Bold Legacy Practice, LLC
NPI: 1972212116
Taxonomy: 261QU0200X (Urgent Care Clinic/Center)
Address: 1401 JOHNSON FERRY RD STE 390, Marietta, GA, 30062

Providers at this address

NPI Name Type Specialty Location
1376700989 Leia Dawson Individual Family Medicine Physician Marietta, GA
1962116392 Bold Legacy Practice, LLC Organization Clinic/Center Marietta, GA
1952083321 Marjorie Mcdermott Individual Family Nurse Practitioner Marietta, GA
1811797236 Asheia Merritt Individual Family Nurse Practitioner Marietta, GA

Verify this record

Cross-check NPI 1972212116 against the authoritative CMS record: view Bold Legacy Practice, LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Bold Legacy Practice, LLC located?
The practice location on file with NPPES is in Marietta, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-01-05. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-05.