Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Primary Health LLC

Organization Family Medicine Physician · NPI 1124998711

Legacy Primary Health LLC provides Family Medicine Physician services in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5165 Northland Dr NE
Grand Rapids, MI 49525-1015
Phone: (843) 990-1965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124998711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Stevens — Manager · (843) 990-1965
NPI enumeratedNovember 7, 2025
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address5165 Northland Dr Ne, Grand Rapids, MI 49525-1015

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