Impact Physician Group, LLC
NPI 1366262487 · Internal Medicine Physician · South Ogden, UT
Impact Physician Group, LLC is a Internal Medicine Physician organization in South Ogden, UT (NPI 1366262487).
Provider details
- NPI number
- 1366262487
- 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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-10-14
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Frequently asked questions
- What is Impact Physician Group, LLC's NPI number?
- Impact Physician Group, LLC's National Provider Identifier (NPI) is 1366262487, 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 5825 Harrison Blvd, South Ogden, UT 84403-4316.
- What is Impact Physician Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Physician Group, LLC is (801) 475-5254.
- 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 (1366262487) is active in the NPPES registry as of the last update on 2024-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.