IMPACT PHYSICIAN GROUP, LLC
NPI 1114428612
Internal Medicine in Peachtree City, GA

Active since February 21, 2018
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269(678) 967-5599 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 19, 2022, May 19, 2020, May 3, 2018 and 1 more (4 updates tracked since 2018).

About Impact Physician Group, Llc NPPES

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

IMPACT PHYSICIAN GROUP, LLC (NPI 1114428612) is a healthcare organization registered as an internal medicine in Peachtree City, Georgia and active in the NPI registry since February 2018. The organization lists Paul Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114428612
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMPACT PHYSICIAN GROUP, LLC
Location Address21 EASTBROOK BND STE 218Peachtree City, GA 30269-1546
Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599
Organization SubpartNo
Authorized OfficialPaul MillerCeo · (678) 967-5599
Enumeration DateFebruary 21, 2018
Last NPPES UpdateDecember 19, 20224 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1114428612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
21 EASTBROOK BND STE 218, Peachtree City, GA 30269

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269
Internal Medicine
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269
Internal Medicine
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269
Internal Medicine
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269
Internal Medicine
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269
Internal Medicine
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269

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 Physician Group, LLC's NPI number?

The NPI number for Impact Physician Group, LLC is 1114428612. It was assigned to this organization in the NPPES registry on February 21, 2018.

Where is Impact Physician Group, LLC located?

Impact Physician Group, LLC is located at 21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269. The listed phone number is (678) 967-5599.

What is Impact Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Impact Physician Group, LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Impact Physician Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Impact Physician Group, LLC was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.