Leia M Dawson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

065818 Issued in GA

Practice address

1401 Johnson Ferry Rd Ste 390
Marietta, GA 30062-9100

Phone

(470) 250-1492

Fax

(470) 235-7311

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bold Legacy Practice, LLCGroup PAC ID 5799140430, 3 clinicians

Bold Primary LLCGroup PAC ID 6406298249, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bold Primary LLC

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1275300287
  Medicare reassignment Care Compare group NPD Authorized official
• Bold Legacy Practice, LLC

  • Urgent Care Clinic/Center
  • Marietta, GA
  • NPI 1972212116
  Medicare reassignment Care Compare group NPD
• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627

  GA

  Medicare reassignment NPD
• Bold Legacy Practice, LLC

  • Clinic/Center
  • Marietta, GA
  • NPI 1962116392
  NPD Authorized official
• Alex E. Rikhter, MD P.C.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1871939751
  NPD
• Allcare Ga PC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1972080554
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kennestone Hospital, Inc.

  • Long Term Care Hospital
  • Marietta, GA
  • NPI 1700853041

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1376700989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JOHNSON FERRY RD STE 390",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629100",
            "telephone_number": "470-250-1492",
            "fax_number": "470-235-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSON FERRY RD STE 390",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629100",
            "telephone_number": "470-250-1492",
            "fax_number": "470-235-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "LEIA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "065818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109621B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Millie Ann Dawson-Hardy, PHD, LPC, MAT
• Heaven Leigh Dawson
• Kayla Dawson, DDS
• Kieara Irielle Dawson, DC
• Lawrence James Dawson, M.D.
• Megan Dawson
• Teresa Ann Dawson, PT, DPT
• John Day, M.D.
• Sasha Day
• Kylie Dayton

• Family Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.