Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Health and Wellness LLC

Organization Case Management Registered Nurse · NPI 1467073189

Legacy Health and Wellness LLC is a Case Management Registered Nurse in Conyers, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1775 Parker Rd SE Ste 210
Conyers, GA 30094-6654
Phone: (707) 731-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X
Case Management Registered Nurse Taxonomy 163WC0400X
General Practice Registered Nurse Taxonomy 163WG0000X
Community Health Clinic/Center Taxonomy 261QC1500X

Record details

NPI number1467073189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronnette Frank — Chief Compliance Officer · (770) 731-7700
NPI enumeratedMay 5, 2020
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020
Mailing address1775 Parker Rd Se Ste 210, Conyers, GA 30094-6654

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