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

Impact Physician Group, Tennessee LLC

Organization Internal Medicine Physician · NPI 1265320055

Impact Physician Group, Tennessee LLC is an Internal Medicine Physician in Germantown, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
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

1240 S Germantown Rd
Germantown, TN 38138-2226
Phone: (901) 275-3300
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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 number1265320055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Cfo · (678) 967-5599
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

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