IMPACT PHYSICIAN GROUP, LLC
NPI 1114428612
Internal Medicine in Peachtree City, GA
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
Specialties & Licenses 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Impact Physician Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
60Medicare enrollment records show 60 clinicians reassign Medicare billing to Impact Physician Group, LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 60Source: 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 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.
Is Impact Physician Group, LLC enrolled in Medicare?
Yes. Impact Physician Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physician Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 60 clinicians in 6 Medicare specialties reassign their Medicare billing to Impact Physician Group, LLC. 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. The largest specialties are Internal Medicine (26), Nurse Practitioner (18) and Family Practice (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Impact Physician Group, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Moda Health Plan, Inc. and Molina Healthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Impact Physician Group, Llc · NPI 1114428612
Internal Medicine organization in Peachtree City, Georgia. Organization record, active in the CMS NPPES registry since February 21, 2018.
## Identity
- **NPI:** 1114428612 (Entity type: Organization)
- **Enumerated:** February 21, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Paul Miller, CEO
## Practice location
- **Address:** 21 EASTBROOK BND STE 218, Peachtree City, GA 30269-1546
- **Phone:** (678) 967-5599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 60 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (26), Nurse Practitioner (18), Family Practice (8); [full list](https://npiprofile.com/npi/1114428612/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114428612) · Data from the CMS NPPES public registry.