IMPACT HEALTHCARE PLLC (NPI# 1639656986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639656986 |
| Entity Type | Organization |
| Organization Name | IMPACT HEALTHCARE PLLC |
| Other Organization Name | BOYETT HEALTHCARE OF TENNESSEE |
| Practice Address |
801 Hill St Springfield TN 37172-2951 |
| Practice Telephone | 8449467228 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | KRYSTAL L SPENCER (OFFICE) |
| Authorized Official Telephone | 7312656025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Boyett Healthcare of Tennessee | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487185153 | Impact Healthcare Pllc | Family Medicine | 37 Sandstone Cir, Ste 92, Jackson, TN 38305-2089 | 2017-03-24 |
| Street Address |
801 HILL ST |
| City | SPRINGFIELD |
| State | TN |
| Zip Code | 37172-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134142987 | Robert Allen Shearer | Obstetrics & Gynecology | 801 Hill St, Springfield, TN 37172-2951 | 2006-07-25 |
| 1821630161 | Austin Leigh Jarrell | Counselor | 801 Hill St, Springfield, TN 37172-2951 | 2019-10-08 |
| 1427417450 | Middle Tennessee Addiction Clinic | Clinic/Center | 801 Hill St, Springfield, TN 37172-2951 | 2016-02-18 |
| 1992199087 | Megen Reynolds | Social Worker | 801 Hill St, Springfield, TN 37172-2951 | 2015-03-26 |
| 1629472832 | Elisabeth Batson | Nurse Practitioner | 801 Hill St, Springfield, TN 37172-2951 | 2014-10-17 |
| 1134491814 | Swan Urogynecology PC | Clinic/Center | 801 Hill St, Springfield, TN 37172-2951 | 2012-01-27 |
| 1376682633 | Millbrook Medical Center | Pediatrics | 801 Hill St, Springfield, TN 37172-2951 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859376 | Results-ast Jv, LLC | Physical Therapist | 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 | 2020-10-21 |
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1922610427 | Jenae Annette Rankin | Physical Therapist | Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 | 2020-08-18 |
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1407407968 | Sadie L Shields | Speech-Language Pathologist | Its 3131 Tom Austin Highway, Springfield, TN 37172 | 2019-09-26 |
| 1871148965 | Austin Chhut | Occupational Therapy Assistant | Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 | 2019-08-06 |
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1083163752 | The Ridge | Counselor | 514 Hill Street, Springfield, TN 37172 | 2016-09-23 |
| 1902255516 | Dionna Marino | Case Manager/Care Coordinator | 731 Cheatham Street, Springfield, TN 37172 | 2016-06-06 |
| 1174964258 | Molly Williams | Registered Nurse | 800 S. Brown Street, Springfield, TN 37172 | 2013-07-17 |
| Find all providers in zip 37172 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508765 | Pw-hospital Bridge Services, LLC | Family Medicine | 801 Hill St Ste A, Springfield, TN 37172-2951 | 2020-08-13 |
| 1558500462 | Mercy Specialist Physicians Inc | Family Medicine | 300 Carew St, Suite 1, Springfield, MA 01104 | 2009-02-17 |
| 1336363217 | Springfield International Health Center | Family Medicine | 760 Chestnut St, Springfield, MA 01107-1614 | 2007-04-12 |
| 1134239056 | Robert L. Elworth | Family Medicine | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268243 | Alpha Medical Center, LLC | Family Medicine | 1421 W Baddour Pkwy Ste A, Lebanon, TN 37087-2652 | 2020-02-28 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1518425941 | Hamm, Blackstock & Stern, Pllc | Family Medicine | 2135 Dalkeith Dr, Germantown, TN 38139-3407 | 2019-03-05 |
| 1336636158 | Foundation Medical, Inc. | Family Medicine | 1730 Old Gray Station Rd, Johnson City, TN 37615-3869 | 2018-04-17 |
| 1770080632 | East Tennessee Addiction Specialists | Family Medicine | 2022 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2018-04-09 |
| 1912418435 | Sunrise Medical Associates Inc. | Family Medicine | 9 Worth Cir Ste 100, Johnson City, TN 37601-4358 | 2017-10-24 |
| 1851810774 | Physician Hope and Wellness Center | Family Medicine | 1915c Church St, Nashville, TN 37203-2203 | 2017-09-12 |
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1568913663 | Watauga Recovery Center Newport PC | Family Medicine | 330 Heritage Blvd, Newport, TN 37821-4257 | 2016-10-24 |
| 1831640937 | Watauga Recovery Center Morristown P.C. | Family Medicine | 1369 W Andrew Johnson Hwy, Johnson City, TN 37604 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 37172 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.