Legacy Family Medicine LLC
NPI 1043967466 · Family Medicine Physician · West Logan, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Family Medicine LLC is a Family Medicine Physician organization in West Logan, WV (NPI 1043967466).
Provider details
- NPI number
- 1043967466
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy White, Credentialing Specialist(304) 688-7027
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs 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
- 2022-03-05
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Frequently asked questions
- What is Legacy Family Medicine LLC's NPI number?
- Legacy Family Medicine LLC's National Provider Identifier (NPI) is 1043967466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Family Medicine LLC?
- Legacy Family Medicine LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Family Medicine LLC located?
- Legacy Family Medicine LLC's practice location on file with NPPES is 1113 2nd Ave, West Logan, WV 25601-3309.
- What is Legacy Family Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Family Medicine LLC is (304) 752-1900.
- Does Legacy Family Medicine LLC accept Medicare?
- Legacy Family Medicine LLC 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 Medicine LLC?
- The authorized official listed on Legacy Family Medicine LLC's NPPES record is Wendy White, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Family Medicine LLC's NPI active?
- Yes — Legacy Family Medicine LLC's NPI (1043967466) is active in the NPPES registry as of the last update on 2025-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.