IMPACT PHYSICIAN GROUP, SOUTH CAROLINA LLC
NPI 1215521752
Internal Medicine in Elgin, SC

NPI Status: Active since February 25, 2021

Contact Information

20 PINNACLE PKWY
ELGIN, SC
ZIP 29045
Phone: (803) 438-8890

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Internal Medicine

About IMPACT PHYSICIAN GROUP, SOUTH CAROLINA LLC

This page provides the complete NPI Profile along with additional information for Impact Physician Group, South Carolina Llc, an internist established in Elgin, South Carolina operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1215521752 assigned on February 2021. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Impact Physician Group, South Carolina Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Paul Miller (Ceo)

NPI: 1215521752
Provider Name: IMPACT PHYSICIAN GROUP, SOUTH CAROLINA LLC
Entity Type: Organization
Location Address: 20 PINNACLE PKWY ELGIN, SC 29045
Location Phone: (803) 438-8890
Mailing Address: 21 EASTBROOK BND STE 218 PEACHTREE CITY, GA 30269
Mailing Phone: (678) 967-5599
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-25-2021
Last Update Date: 12-19-2022
Code Navigator

An internist like Impact Physician Group, South Carolina Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

160 Harold Fleming Ct
Spartanburg, SC 29303
(864) 594-9600

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine
Taxonomy Code: 207R00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Family

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: PAUL MILLER
Authorized Official Title: CEO
Authorized Official Phone: (678) 967-5599

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	1	5	5	2	1	7	5	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	2	5	10	2	2	7	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 0 + 2 + 2 + 7 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2									2

The NPI number 1215521752 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.