Impact Physician Group, LLC
NPI 1114428612 · Internal Medicine Physician · Peachtree City, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Impact Physician Group, LLC is a Internal Medicine Physician organization in Peachtree City, GA (NPI 1114428612).
Provider details
- NPI number
- 1114428612
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Miller, Ceo(678) 967-5599
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2022-12-19
- Certified
- 2022-12-19
Frequently asked questions
- What is Impact Physician Group, LLC's NPI number?
- Impact Physician Group, LLC's National Provider Identifier (NPI) is 1114428612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Physician Group, LLC?
- Impact Physician Group, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Physician Group, LLC located?
- Impact Physician Group, LLC's practice location on file with NPPES is 21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546.
- What is Impact Physician Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Physician Group, LLC is (678) 967-5599.
- Does Impact Physician Group, LLC accept Medicare?
- Impact Physician Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Impact Physician Group, LLC?
- The authorized official listed on Impact Physician Group, LLC's NPPES record is Paul Miller, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Physician Group, LLC's NPI active?
- Yes — Impact Physician Group, LLC's NPI (1114428612) is active in the NPPES registry as of the last update on 2022-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.