Active NPI
Impact Physician Group Massachusetts PLLC
- Internal Medicine Physician
- Holyoke, MA
National Provider Identifier
1295533206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- IMPACT PHYSICIAN GROUP MASSACHUSETTS PLLC
- Practice address
- 45 Lower Westfield Rd
Holyoke, MA 01040-2747 - Phone
- (413) 315-4100
- Fax
- (844) 440-2328
- NPI assigned
- Mar 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Miller
- Title
- Ceo
- Phone
- (678) 967-5599
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
45 Lower Westfield Rd
Holyoke, MA 01040-2747
Mailing address
PO Box 744577
Atlanta, GA 30374-4577
Phone (678) 967-5599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Florence, MA
- NPI 1104652973
-
- Acute Care Nurse Practitioner
- Springfield, MA
- NPI 1366164725
-
- Family Nurse Practitioner
- West Springfield, MA
- NPI 1235954330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1295533206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744577",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744577",
"telephone_number": "678-967-5599",
"fax_number": "844-440-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 LOWER WESTFIELD RD",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402747",
"telephone_number": "413-315-4100",
"fax_number": "844-440-2328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT PHYSICIAN GROUP MASSACHUSETTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-05",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-967-5599"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.