Legacy Medical Group, PLLC
NPI 1558010843 · Internal Medicine Physician · Greensboro, NC
Legacy Medical Group, PLLC is a Internal Medicine Physician organization in Greensboro, NC (NPI 1558010843).
Provider details
- NPI number
- 1558010843
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tiara Shackleford, Nurse Practitioner(336) 944-9950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Home Infusion Agency251F00000X
Agencies
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
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
- 2022-03-22
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Frequently asked questions
- What is Legacy Medical Group, PLLC's NPI number?
- Legacy Medical Group, PLLC's National Provider Identifier (NPI) is 1558010843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Medical Group, PLLC?
- Legacy Medical Group, PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Medical Group, PLLC located?
- Legacy Medical Group, PLLC's practice location on file with NPPES is 302 Pomona Dr Ste L, Greensboro, NC 27407-1642.
- What is Legacy Medical Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Medical Group, PLLC is (336) 763-1980.
- Who is the authorized official for Legacy Medical Group, PLLC?
- The authorized official listed on Legacy Medical Group, PLLC's NPPES record is Tiara Shackleford, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Medical Group, PLLC's NPI active?
- Yes — Legacy Medical Group, PLLC's NPI (1558010843) is active in the NPPES registry as of the last update on 2022-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.