NPIMap

Organization Active NPI

Boyett Healthcare of Tennessee, PLLC

Doing business as Impact Healthcare LLC

  • Addiction Medicine (Family Medicine) Physician
  • Jackson, TN
National Provider Identifier
1487185153
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
BOYETT HEALTHCARE OF TENNESSEE, PLLC
Doing business as
Impact Healthcare LLC
Practice address
37 Sandstone Cir
Ste 92
Jackson, TN 38305-2089
Phone
(731) 445-4879
NPI assigned
Mar 24, 2017
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patrick Combs
Title
Ceo
Phone
(205) 208-9312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

37 Sandstone Cir
Ste 92
Jackson, TN 38305-2089

Mailing address

48 Medical Park Dr E Ste 453
Birmingham, AL 35235-3472
Phone (205) 208-9312

Other practice location 1

1050 Revolution Mill Dr Ste 7A
Greensboro, NC 27405-5053
Phone (205) 208-9312

Other practice location 2

801 Hill St Ste A
Springfield, TN 37172-2951
Phone (615) 382-3002

Other names 3

  • Impact Healthcare LLC Doing business as
  • Impact Healthcare, PLLC Former legal business name
  • Boyett Healthcare of Tennessee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180201001424 TN Part B Supplier - Clinic/Group Practice 5991065427 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Jackson, TN; Springfield, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2128897Boyett Healthcare of Tennessee37 Sandstone Circle, Suite 92, Jackson, TN 38305Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

Locations

37 Sandstone Cir
Ste 92A
Jackson, TN 38305

103 Cude Ln
Ste 168
Madison, TN 37115

104 Cude Ln
Ste 168
Madison, TN 37115
Phone (615) 868-9959

1210 Briarville Rd
Madison, TN 37115
Phone (615) 865-4714

801 Hill St
#A
Springfield, TN 37172

801 Hill St
Ste 100
Springfield, TN 37172

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1487185153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E STE 453",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353472",
            "telephone_number": "205-208-9312",
            "fax_number": "205-848-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SANDSTONE CIR",
            "address_2": "STE 92",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052089",
            "telephone_number": "731-445-4879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Revolution Mill Dr Ste 7A",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274055053",
            "country_code": "US",
            "telephone_number": "205-208-9312",
            "fax_number": "205-848-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Hill St Ste A",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371722951",
            "country_code": "US",
            "telephone_number": "615-382-3002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOYETT HEALTHCARE OF TENNESSEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-208-9312"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Impact Healthcare, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Boyett Healthcare of Tennessee",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.