IMPACT PHYSICIAN GROUP, PEDIATRICS LLC
NPI 1689290603
Pediatrics in Lake Charles, LA

Q: What is Impact Physician Group, Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2020, Jun 25, 2020 (2 updates tracked since 2020).

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About Impact Physician Group, Pediatrics Llc NPPES

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

IMPACT PHYSICIAN GROUP, PEDIATRICS LLC (NPI 1689290603) is a healthcare organization registered as a pediatrics in Lake Charles, Louisiana and active in the NPI registry since June 2020. The organization lists Paul Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689290603

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameIMPACT PHYSICIAN GROUP, PEDIATRICS LLC

Location Address2720 RUE DE JARDIN STE 100Lake Charles, LA 70605-4050

Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599

Phone(260) 407-8009

Fax(260) 407-8009

Organization SubpartNo

Authorized OfficialPaul MillerCeo · (678) 967-5599

Enumeration DateJune 25, 2020

Last NPPES UpdateMarch 15, 20222 updates tracked since enumeration

NPPES CertifiedMarch 15, 2022

✔ NPI 1689290603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

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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

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

IMPACT PHYSICIAN GROUP, LOUISIANA LLC

Internal Medicine

2720 RUE DE JARDIN STE 100
LAKE CHARLES, LA 70605

Calcasieu Parish (260) 407-8009

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, Pediatrics LLC's NPI number?

The NPI number for Impact Physician Group, Pediatrics LLC is 1689290603. It was assigned to this organization in the NPPES registry on June 25, 2020.

Where is Impact Physician Group, Pediatrics LLC located?

Impact Physician Group, Pediatrics 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, Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Impact Physician Group, Pediatrics 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.