LEGACY CARE LLC – Family Medicine Physician, NPI 1902149776
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LEGACY CARE LLC
780 LYNNHAVEN PKWY STE 400
VIRGINIA BEACH, VA 234527332
Phone: (757) 536-2246
Type: Location
2901 S LYNNHAVEN RD STE 450
VIRGINIA BEACH, VA 234528524
Phone: (833) 815-2200
Type: Location
PO BOX 896241
CHARLOTTE, NC 282896241
Phone:
Type: Mailing
1840 Reisterstown Rd
Pikesville, MD 212081305
Phone: (833) 815-2200
Type: Location
PO BOX 645986
PITTSBURGH, PA 152645257
Phone:
Type: Mailing
1929 ROSSINI DR
VIRGINIA BEACH, VA 234546638
Phone: (757) 536-2246
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (712 days ago).
Enrollment records
3
Earliest due date
2024-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20130529000542 | O | Clinic/Group Practice | VA | TBD |
| O20171116001376 | O | Clinic/Group Practice | MD | TBD |
| O20180806002000 | O | Clinic/Group Practice | DC | 2024-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23452)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.