IMPACT PHYSICIAN GROUP, CARDIOLOGY LLC
NPI 1780274522
Internal Medicine - Cardiovascular Disease in Elgin, SC
About Impact Physician Group, Cardiology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT PHYSICIAN GROUP, CARDIOLOGY LLC (NPI 1780274522) is a healthcare organization registered as a cardiovascular disease in Elgin, South Carolina and active in the NPI registry since January 2021. The organization maintains a secondary practice location in Carmel and lists Paul Miller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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, Cardiology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Impact Physician Group, Cardiology LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
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, Cardiology LLC's NPI number?
The NPI number for Impact Physician Group, Cardiology LLC is 1780274522. It was assigned to this organization in the NPPES registry on January 26, 2021.
Where is Impact Physician Group, Cardiology LLC located?
Impact Physician Group, Cardiology LLC is located at 20 Pinnacle Pkwy, Elgin, SC 29045. The listed phone number is (803) 438-8890.
What is Impact Physician Group, Cardiology LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Impact Physician Group, Cardiology LLC enrolled in Medicare?
Yes. Impact Physician Group, Cardiology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physician Group, Cardiology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Impact Physician Group, Cardiology LLC. 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) and Cardiovascular Disease (Cardiology) (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Impact Physician Group, Cardiology LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Impact Physician Group, Cardiology 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, Cardiology LLC was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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, Cardiology Llc · NPI 1780274522
Cardiovascular Disease organization in Elgin, South Carolina. Organization record, active in the CMS NPPES registry since January 26, 2021.
## Identity
- **NPI:** 1780274522 (Entity type: Organization)
- **Enumerated:** January 26, 2021
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Paul Miller, CEO
## Practice location
- **Address:** 20 PINNACLE PKWY, Elgin, SC 29045-8389
- **Phone:** (803) 438-8890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Cardiovascular Disease (Cardiology) (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780274522) · Data from the CMS NPPES public registry.