Organization
IMPACT PHYSICIAN GROUP, INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MILLER (CEO)
(678) 967-5599
Entity
Organization
Contact information
Practice address
1260 CITY CENTER DR, CARMEL, IN 46032-3810
(463) 333-9110
Mailing address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(678) 967-5599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
11/10/2018
Last updated
07/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us