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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BOYETT HEALTHCARE OF TENNESSEE, PLLC
NPI 1487185153
Family Medicine - Addiction Medicine in Jackson, TN

Active since March 24, 2017CLIA Certified · 2 labs
37 SANDSTONE CIR, STE 92, JACKSON, TN 38305(731) 445-4879 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2026, May 22, 2023, Dec 7, 2022 and 3 more (6 updates tracked since 2017).

About Boyett Healthcare Of Tennessee, Pllc NPPES

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

BOYETT HEALTHCARE OF TENNESSEE, PLLC (NPI 1487185153), doing business as Impact Healthcare Llc, is a healthcare organization registered as an addiction medicine in Jackson, Tennessee and active in the NPI registry since March 2017. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Patrick Combs, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487185153
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameBOYETT HEALTHCARE OF TENNESSEE, PLLC
Location Address37 SANDSTONE CIR, STE 92Jackson, TN 38305-2089
Mailing Address48 Medical Park Dr E Ste 453Birmingham, AL 35235-3472 · (205) 208-9312 · Fax (205) 848-2227
Phone(731) 445-4879
Organization SubpartNo
Authorized OfficialPatrick CombsCeo · (205) 208-9312
Enumeration DateMarch 24, 2017
Last NPPES UpdateOctober 21, 20266 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1487185153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
37 SANDSTONE CIR, Jackson, TN 38305
Open in Google Maps ↗

Other Names 3

Doing Business AsImpact Healthcare Llc
Former Legal Business NameImpact Healthcare, Pllc
Other NameBoyett Healthcare Of Tennessee

Secondary Practice Locations 2

Location 11050 Revolution Mill Dr Ste 7AGreensboro, NC 27405-5053 · Phone (205) 208-9312 · Fax (205) 848-2227
Location 2801 Hill St Ste ASpringfield, TN 37172-2951 · Phone (615) 382-3002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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)

Boyett Healthcare Of Tennessee, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Boyett Healthcare Of Tennessee, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner5
Family Practice2
Addiction Medicine1
Internal Medicine1
Psychiatry1

Clinicians, nearest first (10)

Ira Ellis, MD
Family Practice
NPI 1922005388
2084 W MAIN ST
Milan, TN 38358
(615) 673-6737
✔ PECOS✔ Accepts Medicare18 mi
Leslie Cole, M.D.
Internal Medicine
NPI 1225259948
1881 GENERAL GEORGE PATTON DR 107
Franklin, TN 37067
(615) 829-5700
✔ PECOS✔ Accepts Medicare115 mi
Dederick Yeargin, ANP
Nurse Practitioner
NPI 1952669202
1881 GENERAL GEORGE PATTON DR 107
Franklin, TN 37067
(615) 829-5700
✔ PECOS✔ Accepts Medicare115 mi
Logan Butler, PMHNP-BC
Nurse Practitioner
NPI 1316634587
603 W IRIS DR
Nashville, TN 37204
(615) 538-5981
✔ PECOS✔ Accepts Medicare121 mi
Billy Davis, DO
Family Practice
NPI 1225484561
2010 SOUTHPOINT, FORREST PARK CIR NW SUITE 200
Huntsville, AL 35801
(256) 880-5818
✔ PECOS✔ Accepts Medicare140 mi
April Corcoran
Nurse Practitioner
NPI 1861009714
605 2ND AVE N
Columbus, MS 39701
(662) 434-4210
✔ PECOS✔ Accepts Medicare152 mi
Stephen Taylor, M.D.
Addiction Medicine
NPI 1447354907
1025 MONTGOMERY HWY SUITE 200
Birmingham, AL 35216
(205) 978-7511
✔ PECOS✔ Accepts Medicare194 mi
Tiffany Dupree, CRNP
Nurse Practitioner
NPI 1467904557
4000 EAGLE POINT CORPORATE DR
Birmingham, AL 35242
(205) 201-0615
✔ PECOS✔ Accepts Medicare201 mi
Stuart Milan, PMHNP
Nurse Practitioner
NPI 1689766958
2655 LAKELAND DR
Flowood, MS 39232
(601) 957-7343
✔ PECOS✔ Accepts Medicare242 mi
Deborah Gross, MD
Psychiatry
NPI 1982717997
1200 N STATE ST STE 450
Jackson, MS 39202
(601) 957-7343
✔ PECOS✔ Accepts Medicare244 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2152636

Boyett Healthcare Of Tennessee · Springfield, TN
Active · expires May 15, 2028
CLIA Number44D2152636
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorDr. Natalie Matthews
Laboratory Phone(615) 382-3002
Laboratory LocationBoyett Healthcare Of Tennessee801 Hill Street, Springfield, TN 37172
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 34D2350724

Boyett Healthcare Of Tennessee · Greensboro, NC
Active · expires Sep 14, 2028
CLIA Number34D2350724
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2026
Certificate Expiration DateSeptember 14, 2028
Laboratory DirectorPatrick Healy
Laboratory Phone(877) 784-4729
Laboratory LocationBoyett Healthcare Of Tennessee1050 Revolution Mill Dr Suite 7A, Greensboro, NC 27405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Boyett Healthcare Of Tennessee, PLLC's NPI number?

The NPI number for Boyett Healthcare Of Tennessee, PLLC is 1487185153. It was assigned to this organization in the NPPES registry on March 24, 2017. The provider is doing business as Impact Healthcare LLC. The provider is also known as Boyett Healthcare of Tennessee. The provider was formerly known as Impact Healthcare, PLLC.

Where is Boyett Healthcare Of Tennessee, PLLC located?

Boyett Healthcare Of Tennessee, PLLC is located at 37 Sandstone Cir Ste 92, Jackson, TN 38305. The listed phone number is (731) 445-4879.

What is Boyett Healthcare Of Tennessee, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Boyett Healthcare Of Tennessee, PLLC enrolled in Medicare?

Yes. Boyett Healthcare Of Tennessee, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boyett Healthcare Of Tennessee, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Boyett Healthcare Of Tennessee, PLLC. 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 Nurse Practitioner (5), Family Practice (2) and Addiction Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boyett Healthcare Of Tennessee, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Boyett Healthcare Of Tennessee, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Boyett Healthcare Of Tennessee, PLLC 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 Boyett Healthcare Of Tennessee, PLLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.