IMPACT PHYSICIAN GROUP, PSYCHIATRY LLC
NPI 1457011207
Psychiatry & Neurology - Psychiatry in Lufkin, TX
About Impact Physician Group, Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT PHYSICIAN GROUP, PSYCHIATRY LLC (NPI 1457011207) is a healthcare organization registered as a psychiatry in Lufkin, Texas and active in the NPI registry since December 2021. The organization lists Paul Miller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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, Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Impact Physician Group, Psychiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: 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, Psychiatry LLC's NPI number?
The NPI number for Impact Physician Group, Psychiatry LLC is 1457011207. It was assigned to this organization in the NPPES registry on December 21, 2021.
Where is Impact Physician Group, Psychiatry LLC located?
Impact Physician Group, Psychiatry LLC is located at 302 Gobblers Knob Rd, Lufkin, TX 75904. The listed phone number is (678) 967-5599.
What is Impact Physician Group, Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Impact Physician Group, Psychiatry LLC enrolled in Medicare?
Yes. Impact Physician Group, Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physician Group, Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Impact Physician Group, Psychiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Impact Physician Group, Psychiatry LLC was last updated on March 15, 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.
# Impact Physician Group, Psychiatry Llc · NPI 1457011207
Psychiatry organization in Lufkin, Texas. Organization record, active in the CMS NPPES registry since December 21, 2021.
## Identity
- **NPI:** 1457011207 (Entity type: Organization)
- **Enumerated:** December 21, 2021
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Paul Miller, CEO
## Practice location
- **Address:** 302 GOBBLERS KNOB RD, Lufkin, TX 75904-5419
- **Phone:** (678) 967-5599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457011207) · Data from the CMS NPPES public registry.