Organization Active NPI

Devers Legacy Care LLC

  • Assisted Living Facility
  • Decatur, GA
National Provider Identifier
1215874763
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DEVERS LEGACY CARE LLC
Practice address
4209 Sherwood Ave
Decatur, GA 30035-1967
Phone
(308) 280-2044
NPI assigned
May 1, 2026
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Marcus Damond Williams
Title
Member
Phone
(308) 280-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4209 Sherwood Ave
Decatur, GA 30035-1967

Mailing address

8735 Dunwoody PL Ste R
Atlanta, GA 30350-2995
Phone (308) 280-2044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1215874763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8735 DUNWOODY PL STE R",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502995",
            "telephone_number": "308-280-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 SHERWOOD AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351967",
            "telephone_number": "308-280-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVERS LEGACY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "DAMOND",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "308-280-2044"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.