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.
✓ Active NPI ✓ Valid NPI checksum
| 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?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-05.