Legacy Family Care Clinic
NPI 1003620675 · Primary Care Clinic/Center · Hattiesburg, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Family Care Clinic is a Primary Care Clinic/Center organization in Hattiesburg, MS (NPI 1003620675).
Provider details
- NPI number
- 1003620675
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tarah Chatham, Owner(601) 596-9053
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-04
- Last updated
- 2025-06-12
- Certified
- 2025-05-13
Frequently asked questions
- What is Legacy Family Care Clinic's NPI number?
- Legacy Family Care Clinic's National Provider Identifier (NPI) is 1003620675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Family Care Clinic?
- Legacy Family Care Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Legacy Family Care Clinic located?
- Legacy Family Care Clinic's practice location on file with NPPES is 6798 U S Highway 98 Ste 30, Hattiesburg, MS 39402-7987.
- What is Legacy Family Care Clinic's phone number?
- The practice phone number listed in the NPPES registry for Legacy Family Care Clinic is (601) 596-9053.
- Does Legacy Family Care Clinic accept Medicare?
- Legacy Family Care Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Family Care Clinic?
- The authorized official listed on Legacy Family Care Clinic's NPPES record is Tarah Chatham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Family Care Clinic's NPI active?
- Yes — Legacy Family Care Clinic's NPI (1003620675) is active in the NPPES registry as of the last update on 2025-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.