Impact Physician Group, Pediatrics LLC
NPI 1689290603 · Pediatrics Physician · Lake Charles, LA
Impact Physician Group, Pediatrics LLC is a Pediatrics Physician organization in Lake Charles, LA (NPI 1689290603).
Provider details
- NPI number
- 1689290603
- Entity type
- Organization
- Primary specialty
- Pediatrics 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
5 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
- 2020-06-25
- Last updated
- 2022-03-15
- Certified
- 2022-03-15
Frequently asked questions
- What is Impact Physician Group, Pediatrics LLC's NPI number?
- Impact Physician Group, Pediatrics LLC's National Provider Identifier (NPI) is 1689290603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Physician Group, Pediatrics LLC?
- Impact Physician Group, Pediatrics LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Physician Group, Pediatrics LLC located?
- Impact Physician Group, Pediatrics LLC's practice location on file with NPPES is 2720 Rue De Jardin Ste 100, Lake Charles, LA 70605-4050.
- What is Impact Physician Group, Pediatrics LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Physician Group, Pediatrics LLC is (260) 407-8009.
- Who is the authorized official for Impact Physician Group, Pediatrics LLC?
- The authorized official listed on Impact Physician Group, Pediatrics 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, Pediatrics LLC's NPI active?
- Yes — Impact Physician Group, Pediatrics LLC's NPI (1689290603) is active in the NPPES registry as of the last update on 2022-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.