Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Physician Group Nephrology, LLC

Organization Nephrology Physician · NPI 1003704875

Impact Physician Group Nephrology, LLC is a Nephrology Physician in Lebanon, Indiana. Medicare rates this nursing home 1 out of 5. Registered with an NPI since 2025.

CMS rating
1 of 5
In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 155211)
Health inspection2.0 / 5
Staffing1.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Corporation

Practice location Address checks out

1585 Perry Worth Rd
Lebanon, IN 46052-9635
Phone: (765) 482-6391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1003704875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Ceo · (678) 699-4977
NPI enumeratedJune 27, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025
Mailing address21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546