OrganizationActive
Impact Wellness Center
NPI 1336671379 · Pain Medicine Physician · Decatur, GA
Impact Wellness Center is a Pain Medicine Physician organization in Decatur, GA (NPI 1336671379).
Provider details
- NPI number
- 1336671379
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tefylon Cameron, Administrative Manager(678) 717-9299
- License
- GA050322 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1989 N Williamsburg Dr
Suite E
Decatur, GA 30033-5998
Phone: (678) 717-9299
Fax: (404) 492-8885
Street-level locationGet directions
Mailing address
1989 N Williamsburg Dr
Decatur, GA 30033-5998
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2017-03-29
Frequently asked questions
- What is Impact Wellness Center's NPI number?
- Impact Wellness Center's National Provider Identifier (NPI) is 1336671379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Wellness Center?
- Impact Wellness Center is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Wellness Center located?
- Impact Wellness Center's practice location on file with NPPES is 1989 N Williamsburg Dr, Decatur, GA 30033-5998.
- What is Impact Wellness Center's phone number?
- The practice phone number listed in the NPPES registry for Impact Wellness Center is (678) 717-9299.
- Who is the authorized official for Impact Wellness Center?
- The authorized official listed on Impact Wellness Center's NPPES record is Tefylon Cameron, Administrative Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Wellness Center's NPI active?
- Yes — Impact Wellness Center's NPI (1336671379) is active in the NPPES registry as of the last update on 2017-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.