Bold Primary LLC
NPI 1275300287 · Family Medicine Physician · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bold Primary LLC is a Family Medicine Physician organization in Marietta, GA (NPI 1275300287).
Provider details
- NPI number
- 1275300287
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leia Dawson, Medical Director/ Executive Officer(470) 250-1492
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Other names (DBA / former)
- Doing business as
- American Family Care
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2024-05-13
- Certified
- 2024-05-13
Frequently asked questions
- What is Bold Primary LLC's NPI number?
- Bold Primary LLC's National Provider Identifier (NPI) is 1275300287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bold Primary LLC?
- Bold Primary LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bold Primary LLC located?
- Bold Primary LLC's practice location on file with NPPES is 1401 Johnson Ferry Rd Ste 390b, Marietta, GA 30062-6495.
- What is Bold Primary LLC's phone number?
- The practice phone number listed in the NPPES registry for Bold Primary LLC is (470) 250-1492.
- Does Bold Primary LLC accept Medicare?
- Bold Primary 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 Bold Primary LLC?
- The authorized official listed on Bold Primary LLC's NPPES record is Leia Dawson, Medical Director/ Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bold Primary LLC's NPI active?
- Yes — Bold Primary LLC's NPI (1275300287) is active in the NPPES registry as of the last update on 2024-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.