IMPACT PHYSICIAN GROUP INDIANA PULMONARY SERVICES LLC
NPI 1760036925
Internal Medicine - Pulmonary Disease in Peachtree City, GA
About Impact Physician Group Indiana Pulmonary Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT PHYSICIAN GROUP INDIANA PULMONARY SERVICES LLC (NPI 1760036925) is a healthcare organization registered as a pulmonary disease in Peachtree City, Georgia and active in the NPI registry since July 2019. The organization lists Paul Miller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Impact Physician Group Indiana Pulmonary Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Impact Physician Group Indiana Pulmonary Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
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 Indiana Pulmonary Services LLC's NPI number?
The NPI number for Impact Physician Group Indiana Pulmonary Services LLC is 1760036925. It was assigned to this organization in the NPPES registry on July 26, 2019.
Where is Impact Physician Group Indiana Pulmonary Services LLC located?
Impact Physician Group Indiana Pulmonary Services LLC is located at 21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269. The listed phone number is (678) 967-5599.
What is Impact Physician Group Indiana Pulmonary Services LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Impact Physician Group Indiana Pulmonary Services LLC enrolled in Medicare?
Yes. Impact Physician Group Indiana Pulmonary Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physician Group Indiana Pulmonary Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Impact Physician Group Indiana Pulmonary Services LLC, in Family Practice, Internal Medicine, Nurse Practitioner and Pulmonary Disease. 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.
What insurance does Impact Physician Group Indiana Pulmonary Services LLC accept?
Health plans from CareSource list Impact Physician Group Indiana Pulmonary Services LLC 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 Impact Physician Group Indiana Pulmonary Services LLC was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 Indiana Pulmonary Services Llc · NPI 1760036925
Pulmonary Disease organization in Peachtree City, Georgia. Organization record, active in the CMS NPPES registry since July 26, 2019.
## Identity
- **NPI:** 1760036925 (Entity type: Organization)
- **Enumerated:** July 26, 2019
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Paul Miller, CEO
## Practice location
- **Address:** 21 EASTBROOK BND STE 218, Peachtree City, GA 30269-1546
- **Phone:** (678) 967-5599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1760036925) · Data from the CMS NPPES public registry.