Legacy Family Care Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LEGACY FAMILY CARE CLINIC

Practice address

6798 U S Highway 98 Ste 30
Hattiesburg, MS 39402-7987

Phone

(601) 596-9053

Fax

(601) 336-6615

NPI assigned

Feb 4, 2025

Last updated

Jun 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tarah Chatham, FNP-CNPI 1811355605

Title

Owner

Phone

(601) 596-9053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tarah Chatham, FNP

  • Family Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1811355605
  Medicare reassignment NPD Authorized official
• James R Burns, DPT

  • Physical Therapist
  • Hattiesburg, MS
  • NPI 1093048142
  NPD (past)
• Julie M Falla, OT

  • Specialist
  • Hattiesburg, MS
  • NPI 1467537449
  NPD (past)
• Anna K Moore, PT

  • Specialist
  • Hattiesburg, MS
  • NPI 1649379421
  NPD (past)
• Robert Quin Sirmon, MPT

  • Physical Therapist
  • Hattiesburg, MS
  • NPI 1922061498
  NPD (past)
• Bryan Soulie, PT

  • Physical Therapist
  • Luling, LA
  • NPI 1104899947
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1003620675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6798 U S HIGHWAY 98 STE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027987",
            "telephone_number": "601-596-9053",
            "fax_number": "601-336-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6798 U S HIGHWAY 98 STE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027987",
            "telephone_number": "601-596-9053",
            "fax_number": "601-336-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "CHATHAM",
        "authorized_official_first_name": "TARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-596-9053",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee's Love & Care LLC
• Ramona Lisa Leech, MS
• Grif A Leek, MD
• Lisa L Leek, MD
• Deborah Lefler, LPN
• Legacy Wellness Services LLC
• Joe N Leigh, M.D.
• Jennifer L Lemacks, PH.D., R.D.
• Gary L Lett, D.C.
• Adam Lewis

• Primary Care Clinic/Center in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Primary Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.