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

Impact Physician Group Virginia LLC

Organization Internal Medicine Physician · NPI 1952235780

Impact Physician Group Virginia 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 number1952235780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Ceo · (678) 967-5599
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing addressPo Box 744577, Atlanta, GA 31193-4577

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