Active NPI
Legacy Family Services, Inc.
- Prevention Professional
- Conyers, GA
National Provider Identifier
1245109248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- Legal business name
- LEGACY FAMILY SERVICES, INC.
- Practice address
- 1300 River Club Dr NE
Conyers, GA 30012-6617 - Phone
- (800) 713-1733
- NPI assigned
- Oct 30, 2025
- Last updated
- Oct 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Jones, BSM, AA
- Title
- President
- Phone
- (770) 706-1950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | NU | Primary |
Addresses
Primary practice location
1300 River Club Dr NE
Conyers, GA 30012-6617
Mailing address
8735 Dunwoody PL # 6776
Atlanta, GA 30350-2995
Phone (800) 713-1733
National Provider Directory
National Provider DirectoryLocations
8735 Dunwoody Pl
#6776
Sandy Springs, GA 30350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761782400000",
"number": "1245109248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8735 DUNWOODY PL # 6776",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303502995",
"telephone_number": "800-713-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 RIVER CLUB DR NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300126617",
"telephone_number": "800-713-1733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY FAMILY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-706-1950",
"authorized_official_credential": "BSM, AA"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.