IMPACT MEDICAL SUPPLIES LLC
NPI 1881476661
Durable Medical Equipment & Medical Supplies in Marietta, GA

NPI Status: Active since October 17, 2023

Contact Information

2470 WINDY HILL RD SE STE 361
MARIETTA, GA
ZIP 30067
Phone: (404) 493-1019

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About IMPACT MEDICAL SUPPLIES LLC

This page provides the complete NPI Profile along with additional information for Impact Medical Supplies Llc, a provider established in Marietta, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1881476661 assigned on October 2023. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Khalil Shafiq (Authorized Official)

NPI
1881476661
Provider Name
IMPACT MEDICAL SUPPLIES LLC
Entity Type
Organization
Location Address
2470 WINDY HILL RD SE STE 361 MARIETTA, GA 30067
Location Phone
(404) 493-1019
Mailing Address
2470 WINDY HILL RD SE STE 361 MARIETTA, GA 30067
Mailing Phone
(404) 493-1019
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2023
Last Update Date
02-13-2024
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Impact Medical Supplies Llc is a medicare supplier with PTAN 23279665 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Orthoses: Off-The-Shelf or Penile Pumps or Nebulizer Equipment and/or Supplies or Surgical Dressings.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KHALIL SHAFIQ

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(404) 493-1019

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
23279665
Accepts Medicare Assignment
NO
Specialities List
Medical Supply Company Other.
Competitive Bidding
NO

Supplies List

  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Penile Pumps -
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1881476661, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 4 → 8 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 6 + 1 + 8 + 7 + 1 + 2 + 6 + 1 + 2 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1881476661.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881476661, enumerated as an "organization" on October 17, 2023.

The provider is located at 2470 WINDY HILL RD SE STE 361 MARIETTA, GA 30067 and the phone number is (404) 493-1019.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.