OrganizationActive
Cmp Impact Therapeutic Services
NPI 1134772247 · Multi-Specialty Clinic/Center · Warner Robins, GA
Provider details
- NPI number
- 1134772247
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Coranne Polk, Ceo(478) 225-6404
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1906 Elberta Rd Ste C
Warner Robins, GA 31093-1391
Phone: (478) 225-6404
Street-level locationGet directions
Mailing address
1906 Elberta Rd Ste C
Warner Robins, GA 31093-1391
Registry dates
- Enumerated
- 2019-07-17
- Last updated
- 2019-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.