Impact Healthcare, PLLC
A Medicare group practice based in Springfield, TN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5991065427), with 10 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5991065427
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- TN
- Enrollments
- 1
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180201001424 | TN | Part B Supplier - Clinic/Group Practice | 1487185153 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Impact Healthcare, PLLC
dba Impact Healthcare LLC
- Addiction Medicine (Family Medicine) Physician
- Jackson, TN
- NPI 1487185153
-
Impact Healthcare, PLLC
- Internal Medicine Physician
- Springfield, TN
- NPI 1639656986
Practice locations
- Jackson, TN1
- Springfield, TN1
Clinicians 10
Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (7).
-
Logan Butler, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Nashville, TN
- NPI 1316634587
-
Leslie Cole, M.D.
- Internal Medicine Physician
- Franklin, TN
- NPI 1225259948
-
April Stevenson Corcoran
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, MS
- NPI 1861009714
-
Billy Davis, DO
- Addiction Medicine (Family Medicine) Physician
- Huntsville, AL
- NPI 1225484561
-
Tiffany Dupree, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Birmingham, AL
- NPI 1467904557
-
Ira Keith Ellis, MD
- Addiction Medicine (Family Medicine) Physician
- Milan, TN
- NPI 1922005388
-
Deborah Virginia Gross, MD
- Addiction Medicine (Psychiatry & Neurology) Physician
- Jackson, MS
- NPI 1982717997
-
Stuart David Milan, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Flowood, MS
- NPI 1689766958
-
Stephen Mark Taylor, M.D.
- Addiction Medicine (Psychiatry & Neurology) Physician
- Birmingham, AL
- NPI 1447354907
-
Dederick Alan Yeargin, ANP
- Nurse Practitioner
- Franklin, TN
- NPI 1952669202
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.