IMPACT SPORTS MEDICINE & ORTHOPEDICS, PLLC
NPI 1053670265
Physical Medicine & Rehabilitation - Sports Medicine in Nashville, TN

Active since May 08, 2012
345 23RD AVE N, SUITE 301, NASHVILLE, TN 37203(615) 329-2520 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Impact Sports Medicine & Orthopedics, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT SPORTS MEDICINE & ORTHOPEDICS, PLLC (NPI 1053670265) is a healthcare organization registered as a sports medicine in Nashville, Tennessee and active in the NPI registry since May 2012. The organization lists Frank Clarke Holmes, Owner, as its authorized official.

NPPES Registry Identity

NPI1053670265
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameIMPACT SPORTS MEDICINE & ORTHOPEDICS, PLLC
Location Address345 23RD AVE N, SUITE 301Nashville, TN 37203-1513
Mailing Address345 23rd Ave N, Suite 301Nashville, TN 37203-1513 · (615) 346-4036 · Fax (615) 346-4036
Organization SubpartNo
Authorized OfficialFrank Clarke HolmesOwner · (615) 346-4036
Enumeration DateMay 8, 2012
Last NPPES UpdateAugust 9, 2019
✔ NPI 1053670265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in TN · 36919
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
345 23RD AVE N, Nashville, TN 37203

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Impact Sports Medicine & Orthopedics, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20130508000443DME · Physician - Orthopedic/Orthopedic SurgeryDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Impact Sports Medicine & Orthopedics, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sports Medicine
NPI 1851398077
345 23RD AVE N SUITE 301
Nashville, TN 37203
(615) 329-2520
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Sports Medicine & Orthopedics, PLLC's NPI number?

The NPI number for Impact Sports Medicine & Orthopedics, PLLC is 1053670265. It was assigned to this organization in the NPPES registry on May 8, 2012.

Where is Impact Sports Medicine & Orthopedics, PLLC located?

Impact Sports Medicine & Orthopedics, PLLC is located at 345 23rd Ave N Suite 301, Nashville, TN 37203. The listed phone number is (615) 329-2520.

What is Impact Sports Medicine & Orthopedics, PLLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Impact Sports Medicine & Orthopedics, PLLC enrolled in Medicare?

Yes. Impact Sports Medicine & Orthopedics, PLLC is registered in the Medicare PECOS enrollment system.

When is Impact Sports Medicine & Orthopedics, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Tennessee, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Impact Sports Medicine & Orthopedics, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Sports Medicine) reassigns their Medicare billing to Impact Sports Medicine & Orthopedics, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Impact Sports Medicine & Orthopedics, PLLC was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.