IMPACT HEALTHCARE, P.A. (NPI# 1124537246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124537246 |
| Entity Type | Organization |
| Organization Name | IMPACT HEALTHCARE, P.A. |
| Other Organization Name | IMPACT PRIMARY AND URGENT CARE |
| Practice Address |
315 Franklin Plz Louisburg NC 27549-2765 |
| Practice Telephone | (919) 496-4976 |
| Mailing Telephone | 9194964976 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | MS. HEATHER JOHNSON MONTGOMERY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9196908588 |
| Authorized Official Credential | F-N.P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2013-01723 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Impact Primary and Urgent Care | Doing Business As Name - Organization |
| Street Address |
315 FRANKLIN PLZ |
| City | LOUISBURG |
| State | NC |
| Zip Code | 27549-2765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465651 | Kennedy U. Onori | Nurse Practitioner | 315 Franklin Plz, Louisburg, NC 27549-2765 | 2020-07-23 |
| 1083230197 | Brittany Hicks Newell | Nurse Practitioner | 315 Franklin Plz, Louisburg, NC 27549-2765 | 2020-06-24 |
| 1386113124 | Alexia Edwards | Nurse Practitioner | 315 Franklin Plz, Louisburg, NC 27549-2765 | 2018-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
| 1285065797 | Carey Wainwright | Counselor | 104 N. Main Street, Suite 200, Vision Behavioral Health Services, Louisburg, NC 27549 | 2013-12-09 |
| 1114366713 | Alston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 Schloss Road #b, Loiusburg, NC 27549 | 2013-06-18 |
| 1154760981 | Tony's Helping Hand | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32 Gayline Drive, Louisburg, NC 27549 | 2013-06-14 |
| 1689910192 | E Marie Buie | Counselor | 669 Sagamore, Louisburg, NC 27549 | 2013-01-02 |
| 1508158163 | Julie P Leonard | Pharmacist | 102 N. Bickett Blvd., Louisburg, NC 27549 | 2011-05-13 |
| 1508162678 | Franklin County Department of Social Services | Case Management | 107 Industrial Dr., Suite A, Louisburg, NC 27549 | 2011-02-07 |
| 1134352693 | Howard G Yee, Dmd Pa | Dentist | 311 South Bickett, Louisburg, NC 27549 | 2009-09-01 |
| 1679740203 | Stephen D Perdue | Physical Therapy Assistant | 2176 Nc Hwy 39 North, Louisburg, NC 27549 | 2008-05-13 |
| Find all providers in zip 27549 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1013224179 | Beckford Avenue Medical Center Pa | Family Medicine | 6010a Nc Highway 561, Louisburg, NC 27549-8836 | 2010-09-09 |
| 1861436347 | Theodore J Felts | Family Medicine | 1262 W Amity St, Louisburg, KS 66053-7815 | 2006-06-15 |
| 1427017888 | Warren Allen Blackburn | Family Medicine | 205 Sandalwood Ave, Suite C, Louisburg, NC 27549-2679 | 2006-03-22 |
| 1528045291 | Doris J Batts-murray | Family Medicine | 111 S Church St, Louisburg, NC 27549-2501 | 2005-12-23 |
| 1972857449 | Novant Medical Group Inc | Family Medicine | 205 Sandalwood Ave, Suite A, Louisburg, NC 27549-2679 | 2012-11-05 |
| 1720225691 | Louisburg Ppm LLC | Family Medicine | 1501 N Bickett Blvd, Suite G, Louisburg, NC 27549-2178 | 2009-01-14 |
| 1235385915 | Novant Medical Group, Inc. | Family Medicine | 205 Sandalwood Ave, Suite C, Louisburg, NC 27549-2679 | 2008-08-13 |
| 1093900359 | William A Sayles, Md | Family Medicine | 601 N Bickett Blvd, Louisburg, NC 27549-2313 | 2007-09-10 |
| 1982820288 | Thuhuong Le Trinh | Family Medicine | 107 Industrial Dr, Ste C, Louisburg, NC 27549-2371 | 2007-04-17 |
| Find all providers in LOUISBURG | ||||
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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.