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

Legacy Primary Health LLC

Organization Family Medicine Physician · NPI 1124998711

Legacy Primary Health LLC is a Family Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025
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

5165 Northland Dr NE
Grand Rapids, MI 49525-1015
Phone: (843) 990-1965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124998711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Stevens — Manager · (843) 990-1965
NPI enumeratedNovember 7, 2025
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address5165 Northland Dr Ne, Grand Rapids, MI 49525-1015

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