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IMPACT HEALTH DIRECT PRIMARY CARE, PLLC
NPI 1760004188
Clinic/Center - Primary Care in Ennis, TX

Active since May 07, 2020CLIA 45D2167362 · Microscopy
711 W LAMPASAS ST, ENNIS, TX 75119(972) 846-4800(410) 237-6747 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Impact Health Direct Primary Care, Pllc NPPES

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

IMPACT HEALTH DIRECT PRIMARY CARE, PLLC (NPI 1760004188) is a healthcare organization registered as a primary care in Ennis, Texas and active in the NPI registry since May 2020. The organization holds a CLIA Microscopy certificate valid through June 5, 2027 and lists Kara Sjogren, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1760004188
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIMPACT HEALTH DIRECT PRIMARY CARE, PLLC
Location Address711 W LAMPASAS STEnnis, TX 75119-4533
Mailing Address711 W Lampasas StEnnis, TX 75119-4533 · (972) 846-4800 · Fax (972) 947-5257
Phone(972) 846-4800
Fax(410) 237-6747
Organization SubpartNo
Authorized OfficialKara SjogrenPhysician/owner · (972) 846-4800
Enumeration DateMay 7, 2020
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1760004188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
711 W LAMPASAS ST, Ennis, TX 75119
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CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 45D2167362

Impact Health Direct Primary Care, PLLC · Ennis, TX
Active · expires Jun 5, 2027
CLIA Number45D2167362
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorKara E. Sjogren
Laboratory Phone(817) 564-3575
Laboratory LocationImpact Health Direct Primary Care, PLLC711 West Lampasas Street Attn Kara Sjogren, Ennis, TX 75119
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

ALICE ANN BAGBY FNP
Nurse Practitioner (Family)
711 W LAMPASAS ST
ENNIS, TX 75119
Ellis County (214) 666-6259
DR. KARA ELIZABETH SJOGREN D.O.
Family Medicine
711 W LAMPASAS ST
ENNIS, TX 75119
Ellis County (972) 846-4800

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 Health Direct Primary Care, PLLC's NPI number?

The NPI number for Impact Health Direct Primary Care, PLLC is 1760004188. It was assigned to this organization in the NPPES registry on May 7, 2020.

Where is Impact Health Direct Primary Care, PLLC located?

Impact Health Direct Primary Care, PLLC is located at 711 W Lampasas St, Ennis, TX 75119. The listed phone number is (972) 846-4800.

What is Impact Health Direct Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Impact Health Direct Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2167362) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Impact Health Direct Primary Care, PLLC was last updated on October 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.