Impact Physician Group Texas Physiatry Services LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

IMPACT PHYSICIAN GROUP TEXAS PHYSIATRY SERVICES LLC

Practice address

20 Pinnacle Pkwy
Elgin, SC 29045-8389

Phone

(803) 438-8890

NPI assigned

Jun 27, 2025

Organization subpart

No

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

Authorized official

Name

Paul Miller, CEO

Title

Ceo

Phone

(678) 967-5599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, OH2 enrollments

Enrollment records 2

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kasey Ann Miles

  • Nurse Practitioner
  • Cayce, SC
  • NPI 1639959778

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Amberly Keyes, PA-C

  • Physician Assistant
  • Fishersville, VA
  • NPI 1447092192

  Physical Medicine & Rehabilitation, SC

  Medicare reassignment Care Compare group NPD
• Aamir Ghouse Mohiuddin, DO

  • Internal Medicine Physician
  • Olympia Fields, IL
  • NPI 1063040533

  Physical Medicine & Rehabilitation, SC

  Medicare reassignment Care Compare group NPD
• Tina Louise Augusta Morris, FNP-C

  • Family Nurse Practitioner
  • Akron, OH
  • NPI 1619594157
  Medicare reassignment Care Compare group NPD
• Victoria Ea Walker, NP

  • Nurse Practitioner
  • Akron, OH
  • NPI 1093994188
  Medicare reassignment Care Compare group NPD
• Brandon Daniel Weeks, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Cuyahoga Falls, OH
  • NPI 1700047644
  Medicare reassignment Care Compare group NPD
• Edna Frazier, FNP-C

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1215649660
  Medicare reassignment NPD
• Sheryar Sarwar, MD

  • Family Medicine Physician
  • Kokomo, IN
  • NPI 1730426958

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1962390708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTBROOK BND STE 218",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691546",
            "telephone_number": "678-967-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PINNACLE PKWY",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458389",
            "telephone_number": "803-438-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3085 Taylor Rd",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290332745",
            "country_code": "US",
            "telephone_number": "803-258-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPACT PHYSICIAN GROUP TEXAS PHYSIATRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "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",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Howard, OT
• Brittney Nichole Howell
• Betty Faye Hutchinson Nance
• Brittany Hutchinson
• Chandra Lynise Hyman, RN
• Impact Physician Group, Cardiology LLC
• Impact Physician Group, South Carolina LLC
• Infinity Global
• Gerald Isreal Jr., RPH
• Niaget Jackson

• Physical Medicine & Rehabilitation Physician in Elgin, SC
• Providers in Elgin, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.