OrganizationActive
Legacy Health PA
NPI 1780147108 · Health Service Clinic/Center · Matthews, NC
Provider details
- NPI number
- 1780147108
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Jerby, Lead Physician(980) 339-5155
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
3049 Senna Dr
Matthews, NC 28105-6727
Phone: (980) 339-5155
Fax: (980) 216-8522
Street-level locationGet directions
Mailing address
3049 Senna Dr
Matthews, NC 28105-6727
Other names (DBA / former)
- Doing business as
- Legacy Health
Registry dates
- Enumerated
- 2019-04-11
- Last updated
- 2019-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.