IMPACT PRIMARY AND URGENT CARE
NPI 1124537246
Family Medicine in Louisburg, NC

Active since September 20, 2017CLIA Certified · 2 labs
315 FRANKLIN PLZ, LOUISBURG, NC 27549(919) 496-4976 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Sep 20, 2017 (2 updates tracked since 2017).

About Impact Primary And Urgent Care NPPES

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

IMPACT PRIMARY AND URGENT CARE (NPI 1124537246) is a healthcare organization registered as a family medicine in Louisburg, North Carolina and active in the NPI registry since September 2017. The organization holds 2 active CLIA laboratory certificates and lists Heather Johnson Montgomery, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1124537246
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMPACT HEALTHCARE, P.A.
Location Address315 FRANKLIN PLZLouisburg, NC 27549-2765
Mailing Address315 Franklin PlzLouisburg, NC 27549-2765 · (919) 496-4976
Organization SubpartNo
Authorized OfficialHeather Johnson MontgomeryAuthorized Official · (919) 690-8588
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1124537246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2013-01723
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
315 FRANKLIN PLZ, Louisburg, NC 27549

Other Names 1

Doing Business AsImpact Primary And Urgent Care

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

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 Primary And Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Impact Primary And Urgent Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner10
Family Practice1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1245821420
315 FRANKLIN PLZ
Louisburg, NC 27549
(919) 496-4976
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083230197
315 FRANKLIN PLZ
Louisburg, NC 27549
(919) 496-4976
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407465651
315 FRANKLIN PLZ
Louisburg, NC 27549
(919) 496-4976
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033609813
315 FRANKLIN PLZ
Louisburg, NC 27549
(919) 496-4976
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1134895386
315 FRANKLIN PLZ
Louisburg, NC 27549
(919) 496-4976
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1104641794
315 FRANKLIN PLZ
Louisburg, NC 27549
(919) 496-4976
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1326278466
315 FRANKLIN PLZ
Louisburg, NC 27549
(919) 496-4976
✔ PECOS✔ Accepts Medicare35 mi
Family Practice
NPI 1114218492
702 N MAIN ST
Roxboro, NC 27573
(336) 599-9271
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1659050946
158 MEMORIAL CT
Jacksonville, NC 28546
(910) 353-5111
✔ PECOS✔ Accepts Medicare121 mi
Nurse Practitioner
NPI 1720753759
1057D CEDAR POINT BLVD
Cedar Point, NC 28584
(252) 764-2121
✔ PECOS✔ Accepts Medicare133 mi
Nurse Practitioner
NPI 1871739367
517 MAIN AVE W
Hildebran, NC 28637
(828) 580-5561
✔ PECOS✔ Accepts Medicare189 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D2136745

Impact Healthcare, PA Dba Impact Primary And Urgent Care · Louisburg, NC
Active · expires Sep 13, 2027
CLIA Number34D2136745
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorKristen L. White
Laboratory Phone(919) 496-4976
Laboratory LocationImpact Healthcare, PA Dba Impact Primary And Urgent Care315 Franklin Plaza, Louisburg, NC 27549
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D2316543

Impact Healthcare, PA · Cedar Point, NC
Active · expires Jan 6, 2027
CLIA Number34D2316543
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorKristen L. White
Laboratory Phone(919) 496-4976
Laboratory LocationImpact Healthcare, PA1057-D Cedar Point Boulevard, Cedar Point, NC 28584
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Healthcare, P.A.'s NPI number?

The NPI number for Impact Healthcare, P.A. is 1124537246. It was assigned to this organization in the NPPES registry on September 20, 2017. The provider is doing business as Impact Primary And Urgent Care.

Where is Impact Healthcare, P.A. located?

Impact Healthcare, P.A. is located at 315 Franklin Plz, Louisburg, NC 27549. The listed phone number is (919) 496-4976.

What is Impact Healthcare, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Impact Healthcare, P.A. enrolled in Medicare?

Yes. Impact Healthcare, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Healthcare, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Impact Healthcare, P.A.. 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 Nurse Practitioner (10) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Impact Healthcare, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Impact Healthcare, P.A. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Impact Healthcare, P.A. 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 Healthcare, P.A. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.