IMPACT PHYSICIAN GROUP, SOUTH CAROLINA LLC
NPI 1215521752
Internal Medicine in Elgin, SC
About Impact Physician Group, South Carolina Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT PHYSICIAN GROUP, SOUTH CAROLINA LLC (NPI 1215521752) is a healthcare organization registered as an internal medicine in Elgin, South Carolina and active in the NPI registry since February 2021. The organization maintains a secondary practice location in Spartanburg and lists Paul Miller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 2
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, South Carolina Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Impact Physician Group, South Carolina 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 29Source: 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, South Carolina LLC's NPI number?
The NPI number for Impact Physician Group, South Carolina LLC is 1215521752. It was assigned to this organization in the NPPES registry on February 25, 2021.
Where is Impact Physician Group, South Carolina LLC located?
Impact Physician Group, South Carolina LLC is located at 20 Pinnacle Pkwy, Elgin, SC 29045. The listed phone number is (803) 438-8890.
What is Impact Physician Group, South Carolina LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Impact Physician Group, South Carolina LLC enrolled in Medicare?
Yes. Impact Physician Group, South Carolina LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physician Group, South Carolina LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 6 Medicare specialties reassign their Medicare billing to Impact Physician Group, South Carolina 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 (15), Nurse Practitioner (9) and Family Practice (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Impact Physician Group, South Carolina LLC accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Impact Physician Group, South Carolina 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, South Carolina 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, South Carolina Llc · NPI 1215521752
Internal Medicine organization in Elgin, South Carolina. Organization record, active in the CMS NPPES registry since February 25, 2021.
## Identity
- **NPI:** 1215521752 (Entity type: Organization)
- **Enumerated:** February 25, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Paul Miller, CEO
## Practice location
- **Address:** 20 PINNACLE PKWY, Elgin, SC 29045-8389
- **Phone:** (803) 438-8890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (15), Nurse Practitioner (9), Family Practice (2); [full list](https://npiprofile.com/npi/1215521752/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/1215521752) · Data from the CMS NPPES public registry.