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 IDO20180409000769

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 NameAnil V Yadav
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1861457368
PECOS PAC ID: 7911800255
Enrollment ID: I20040202000613
Provider NameSohail Ahmed Usman
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1568495513
PECOS PAC ID: 2163529983
Enrollment ID: I20070512000014
Provider NameSyed K Hashmi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265537104
PECOS PAC ID: 0840102570
Enrollment ID: I20090311000491
Provider NameAnton A Cabellon
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1013006972
PECOS PAC ID: 5991738833
Enrollment ID: I20090911000201
Provider NameAudette Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184872566
PECOS PAC ID: 8527128578
Enrollment ID: I20111115000262
Provider NameIbrar Faqir Paracha
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1811157357
PECOS PAC ID: 7214104066
Enrollment ID: I20120118000653
Provider NameKamran Quraishi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417175068
PECOS PAC ID: 0648361568
Enrollment ID: I20150220002044
Provider NameSaif Choudhury
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447540943
PECOS PAC ID: 7012133812
Enrollment ID: I20150220002156
Provider NameZubair Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134416019
PECOS PAC ID: 0840410403
Enrollment ID: I20150306002256
Provider NameMuhammad Yasin
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1508004094
PECOS PAC ID: 2769652429
Enrollment ID: I20150506001691
Provider NameSheryar Sarwar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730426958
PECOS PAC ID: 0941500714
Enrollment ID: I20151201000068
Provider NameHaris Adnan Siraj
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1982045902
PECOS PAC ID: 4183913361
Enrollment ID: I20160511000593
Provider NameJibran K Durrani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750797262
PECOS PAC ID: 8527378850
Enrollment ID: I20170509001514
Provider NameDavid Marwa Runana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700311529
PECOS PAC ID: 1658645718
Enrollment ID: I20170928000621
Provider NameTammie R Maiden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265632566
PECOS PAC ID: 4688960339
Enrollment ID: I20171218003208
Provider NameMazhar Khan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063788370
PECOS PAC ID: 7911215736
Enrollment ID: I20181010003872
Provider NameSinikweyinkosi Mabandla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932672938
PECOS PAC ID: 6103162235
Enrollment ID: I20190110003123

Reviews and Comments


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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.