IMPACT PHYSICIAN GROUP, LOUISIANA LLC
NPI 1437775459
Internal Medicine in Lake Charles, LA

Active since June 25, 2020
2720 RUE DE JARDIN STE 100, LAKE CHARLES, LA 70605(260) 407-8009(260) 407-8009 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact Physician Group, Louisiana Llc NPPES

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

IMPACT PHYSICIAN GROUP, LOUISIANA LLC (NPI 1437775459) is a healthcare organization registered as an internal medicine in Lake Charles, Louisiana and active in the NPI registry since June 2020. The organization lists Paul Miller, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1437775459
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMPACT PHYSICIAN GROUP, LOUISIANA LLC
Location Address2720 RUE DE JARDIN STE 100Lake Charles, LA 70605-4050
Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (260) 407-8009 · Fax (260) 407-8009
Fax(260) 407-8009
Organization SubpartNo
Authorized OfficialPaul MillerCredentialing Coordinator · (260) 407-8009
Enumeration DateJune 25, 2020
NPPES CertifiedJune 25, 2020
NPI 1437775459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2720 RUE DE JARDIN STE 100, Lake Charles, LA 70605

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

Other Providers at the Same Location NPPES

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

Pediatrics
2720 RUE DE JARDIN STE 100
LAKE CHARLES, LA 70605

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, Louisiana LLC's NPI number?

The NPI number for Impact Physician Group, Louisiana LLC is 1437775459. It was assigned to this organization in the NPPES registry on June 25, 2020.

Where is Impact Physician Group, Louisiana LLC located?

Impact Physician Group, Louisiana LLC is located at 2720 Rue De Jardin Ste 100, Lake Charles, LA 70605. The listed phone number is (260) 407-8009.

What is Impact Physician Group, Louisiana LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Impact Physician Group, Louisiana LLC was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.