Bold Legacy Practice, LLC in Marietta, GA
This location of Bold Legacy Practice bills under NPI 1972212116, an organization record issued on Nov 16, 2022 with the primary taxonomy Urgent Care Clinic/Center. It is one of 2 NPIs registered under this name and one of 2 in Marietta; each clinician who sees you there has their own NPI and license.
- Legal name
- Bold Legacy Practice, LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Urgent Care Clinic/Center 261QU0200X
- Practice location
- 1401 JOHNSON FERRY RD STE 390, Marietta, GA 30062
- Phone
- 470-795-0047
- Mailing address
- Acworth, GA
- Enumerated
- Nov 16, 2022
- Record updated
- Jan 5, 2024
- Authorized official
- Medical Director (title as filed)
The other Marietta NPI
- Bold Legacy Practice, LLC1401 JOHNSON FERRY RD STE 390 · issued Jan 10, 20231962116392
3 clinicians CMS lists with Bold Legacy Practice in Marietta
- Leia Dawson, DOFamily Medicine Physician1376700989
- Elleni Kebede, NPFamily Nurse Practitioner1124711064
- Asheia Merritt, FNPFamily Nurse Practitioner1811797236
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Every location registered under this name, in 1 city.
See every locationChecking an organization
- Confirm the business with the Georgia secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 261Q00000X Clinic/Center
- 261QU0200X Urgent Care Clinic/Center
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Which Marietta NPI should I use?
Ask the office which NPI it bills under; all 2 Marietta NPIs are registered under the same name.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.