Legacy Care LLC
NPI 1902149776 · Family Medicine Physician · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Care LLC is a Family Medicine Physician organization in Virginia Beach, VA (NPI 1902149776).
Provider details
- NPI number
- 1902149776
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Desi-Rae Hall, Delegated Official(757) 251-9419
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1840 Reisterstown RdPikesville, MD 21208-1305Phone: (833) 815-2200
Registry dates
- Enumerated
- 2013-03-30
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Frequently asked questions
- What is Legacy Care LLC's NPI number?
- Legacy Care LLC's National Provider Identifier (NPI) is 1902149776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Care LLC?
- Legacy Care LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy Care LLC located?
- Legacy Care LLC's practice location on file with NPPES is 780 Lynnhaven Pkwy Ste 400, Virginia Beach, VA 23452-7332.
- What is Legacy Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Care LLC is (757) 536-2246.
- Does Legacy Care LLC accept Medicare?
- Legacy Care 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 Care LLC?
- The authorized official listed on Legacy Care LLC's NPPES record is Desi-Rae Hall, Delegated Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Care LLC's NPI active?
- Yes — Legacy Care LLC's NPI (1902149776) is active in the NPPES registry as of the last update on 2026-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.