Impact Physician Group, Tennessee LLC
NPI 1265320055ActiveOrganization· Internal Medicine· Germantown, TN
Internal Medicine in Germantown, Tennessee, registered in NPPES in June 2025. The authorized official on file is Paul Miller, CFO, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265320055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2025 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 28, 2025 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
Other Internal Medicine providers in Germantown
- 1932428802
- 1871631275
- 1568863801
- 1790989184
- 1306903927
- 1083630560
- 1467759860
- 1770890469
- 1366509721
- 1467532754
- 1760630628
- 1427331982