Organization Active NPI

Legacy Wellness & Aesthetics LLC

  • Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1740137082
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEGACY WELLNESS & AESTHETICS LLC
Practice address
10 Hopewell Dr
Fredericksburg, VA 22406-5375
Phone
(804) 647-9070
NPI assigned
Mar 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Dr. Ahan Lamar Hunter, MD
Title
Doctor
Phone
(843) 364-4712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10 Hopewell Dr
Fredericksburg, VA 22406-5375

Mailing address

10 Hopewell Dr
Fredericksburg, VA 22406-5375
Phone (804) 647-9070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1740137082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOPEWELL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224065375",
            "telephone_number": "804-647-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOPEWELL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224065375",
            "telephone_number": "804-647-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY WELLNESS & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-15",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "AHAN",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-364-4712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.