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

Leia M Dawson, DO

Individual provider Family Medicine Physician · NPI 1376700989

Leia M Dawson, DO is a Family Practice in Marietta, Georgia. Qualified in 2008, 18 years ago. Practices with Bold Legacy Practice, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1401 Johnson Ferry Rd Ste 390
Marietta, GA 30062-9100
Phone: (470) 250-1492
Fax: (470) 235-7311
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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 · Licence 065818 (GA)

Record details

NPI number1376700989
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 21, 2008
Last updated in NPPESOctober 22, 2023
Certification dateOctober 22, 2023
Mailing address1401 Johnson Ferry Rd Ste 390, Marietta, GA 30062-9100

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Bold Legacy Practice, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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