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

Impact Physician Group North Carolina LLC

Organization Internal Medicine Physician · NPI 1982538716

Impact Physician Group North Carolina LLC is an Internal Medicine Physician in Peachtree City, Georgia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21 Eastbrook Bnd Ste 218
Peachtree City, GA 30269-1546
Phone: (678) 967-5599
Fax: (844) 440-2328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1982538716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Ceo · (678) 967-5599
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing addressPo Box 744577, Atlanta, GA 30374-4577

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