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IMPACT PHYSICIAN GROUP NEUROLOGY LLC
NPI 1467340380
Psychiatry & Neurology - Neurology in Saint Louis, MO

Active since June 27, 2025
10018 KENNERLY RD, SAINT LOUIS, MO 63128(314) 208-6000 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Impact Physician Group Neurology Llc NPPES

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

IMPACT PHYSICIAN GROUP NEUROLOGY LLC (NPI 1467340380) is a healthcare organization registered as a neurology in Saint Louis, Missouri and active in the NPI registry since June 2025. The organization lists Paul Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467340380
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameIMPACT PHYSICIAN GROUP NEUROLOGY LLC
Location Address10018 KENNERLY RDSaint Louis, MO 63128-2106
Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599 · Fax (678) 519-2831
Phone(314) 208-6000
Organization SubpartNo
Authorized OfficialPaul MillerCeo · (678) 967-5599
Enumeration DateJune 27, 2025
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
✔ NPI 1467340380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
10018 KENNERLY RD, Saint Louis, MO 63128
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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 20

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

SREENU ADA,MD,PC
Internal Medicine
10018 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (636) 465-0544
ROHIT PAWAR M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
10018 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-7275
SREENU ADA MD
Internal Medicine
10018 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-7275
MS. LAURIE A BRUNDICK LCSW
Social Worker (Clinical)
10018 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4412
KINDRED HOSPITALS EAST, LLC
Long Term Care Hospital
10018 KENNERLY RD, 3RD FLOOR, HYLAND BLDG. B
SAINT LOUIS, MO 63128
St. Louis County (314) 525-8100
DR. AJAY NAIR MD
Psychiatry & Neurology (Psychiatry)
10018 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 251-6663
KND DEVELOPMENT 59, LLC
Hospitalist
10018 KENNERLY RD, 3RD FLOOR, HYLAND BUILDING B, ST.
SAINT LOUIS, MO 63128
St. Louis County (314) 525-8100
TERICKA M RINGLER-CHIEN MSW, LCSW
Social Worker (Clinical)
10018 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4412

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 Neurology LLC's NPI number?

The NPI number for Impact Physician Group Neurology LLC is 1467340380. It was assigned to this organization in the NPPES registry on June 27, 2025.

Where is Impact Physician Group Neurology LLC located?

Impact Physician Group Neurology LLC is located at 10018 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 208-6000.

What is Impact Physician Group Neurology LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Impact Physician Group Neurology LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.