Impact Healthcare, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IMPACT HEALTHCARE, PLLC

Practice address

801 Hill St
Springfield, TN 37172-2951

Phone

(844) 946-7228

NPI assigned

Jul 19, 2018

Last updated

May 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Turner

Title

President

Phone

(205) 208-9312

Specialties & licenses 1

Addresses

Other names 1

• Boyett Healthcare of Tennessee Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Impact Healthcare, PLLC

  dba Impact Healthcare LLC

  • Addiction Medicine (Family Medicine) Physician
  • Jackson, TN
  • NPI 1487185153

  O20180201001424

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 19

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.

• Logan Butler, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
  • NPI 1316634587
  NPD
• Ira Keith Ellis, MD

  • Addiction Medicine (Family Medicine) Physician
  • Milan, TN
  • NPI 1922005388
  NPD
• Dederick Alan Yeargin, ANP

  • Nurse Practitioner
  • Franklin, TN
  • NPI 1952669202
  NPD
• April Stevenson Corcoran

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, MS
  • NPI 1861009714
  NPD
• Billy Davis, DO

  • Addiction Medicine (Family Medicine) Physician
  • Huntsville, AL
  • NPI 1225484561
  NPD
• Tiffany Dupree, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
  • NPI 1467904557
  NPD
• Deborah Virginia Gross, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Jackson, MS
  • NPI 1982717997
  NPD
• Stuart David Milan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flowood, MS
  • NPI 1689766958
  NPD
• Stephen Mark Taylor, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Birmingham, AL
  • NPI 1447354907
  NPD
• Eresvita Balatico, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Pulaski, TN
  • NPI 1669482295
  NPD (past)
• Ferdinand A. Balatico, M.D.

  • Gastroenterology Physician
  • Pulaski, TN
  • NPI 1851301535
  NPD (past)
• Beth Cannon

  • Professional Counselor
  • Morristown, TN
  • NPI 1821454216
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1639656986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 URBAN CENTER DR STE 600",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HILL ST",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722951",
            "telephone_number": "844-946-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Sandstone Cir Ste 92",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053168",
            "country_code": "US",
            "telephone_number": "731-265-6025",
            "fax_number": "731-265-6028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Fox Meadows Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378626937",
            "country_code": "US",
            "telephone_number": "865-280-2700",
            "fax_number": "865-286-5994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 Cude Ln",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371152202",
            "country_code": "US",
            "telephone_number": "615-868-9959",
            "fax_number": "615-865-1463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPACT HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-208-9312"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boyett Healthcare of Tennessee",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley Michelle Hoskins, M.S.
• Amelia Mariann Howell, M.S. CCC-SLP
• Bruce Paul Hunter, DNP, APRN, FNP-BC
• Wesley Dwayne Hurst, PT, DPT
• Natalia Elizabeth Hutnyan, PT, DPT
• Intelligent Therapy Staffing
• Intelligent Therapy Staffing Inc (SpeechPath Outpatient Services)
• Intelligent Therapy Staffing, Inc.
• Maria Irizarry
• Chris Edward Jackson, D.C.

• Internal Medicine Physician in Springfield, TN
• Providers in Springfield, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.