Impact Physician Group, South Carolina LLC
NPI 1215521752ActiveOrganization· Internal Medicine· Elgin, SC
Internal Medicine in Elgin, South Carolina, registered in NPPES in February 2021. The authorized official on file is Paul Miller, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215521752 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2021 |
| Last updated in NPPES | Dec 19, 2022 |
| Certified by provider | Dec 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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