Impact Physician Group, Llc - Medicare Primary Care in Peachtree City, GA

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Impact Physician Group, Llc is a medicare enrolled primary clinic (Internal Medicine) in Peachtree City, Georgia. The current practice location for Impact Physician Group, Llc is 21 Eastbrook Bnd Ste 218, Peachtree City, Georgia. For appointments, you can reach them via phone at (678) 967-5599. The mailing address for Impact Physician Group, Llc is 21 Eastbrook Bnd Ste 218, Peachtree City, Georgia and phone number is (678) 967-5599.

Impact Physician Group, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114428612. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (678) 967-5599.

Contact Information

Impact Physician Group, Llc
21 Eastbrook Bnd Ste 218
Peachtree City
GA 30269-1546
(678) 967-5599
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameImpact Physician Group, Llc
SpecialityInternal Medicine
Location21 Eastbrook Bnd Ste 218, Peachtree City, Georgia
Authorized Official Name and PositionPaul Miller (CEO)
Authorized Official Contact6789675599
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Impact Physician Group, Llc
21 Eastbrook Bnd Ste 218
Peachtree City
GA 30269-1546

Ph: (678) 967-5599		Impact Physician Group, Llc
21 Eastbrook Bnd Ste 218
Peachtree City
GA 30269-1546

Ph: (678) 967-5599

NPI Details:

NPI Number1114428612
Provider Enumeration Date02/21/2018
Last Update Date12/19/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6204199086
Medicare Enrollment IDO20200407003329

Medical Identifiers

Medical identifiers for Impact Physician Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114428612NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Impact Physician Group, Llc acts as a billing entity for following providers:
Provider NameRobert L Griffin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629008073
PECOS PAC ID: 4385642453
Enrollment ID: I20061128000255
Provider NameKelvin James Wiley
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1194810481
PECOS PAC ID: 3971604638
Enrollment ID: I20121011000564
Provider NameKamran Quraishi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417175068
PECOS PAC ID: 0648361568
Enrollment ID: I20200407003596

Reviews and Comments


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In Charge Medical Professionals Llc
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Medicare: Medicare Enrolled
Practice Location: 21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269
Phone: 678-967-5599    Fax: 866-594-0037

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.