IMPACT PHYSICIAN GROUP NEUROLOGY LLC – NPI #1467340380
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

IMPACT PHYSICIAN GROUP NEUROLOGY LLC is a psychiatry & neurologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1467340380 to IMPACT PHYSICIAN GROUP NEUROLOGY LLC on June 27, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was last updated on Jul 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMPACT PHYSICIAN GROUP NEUROLOGY LLC below.

NPI Profile for
IMPACT PHYSICIAN GROUP NEUROLOGY LLC

NPI Number
1467340380
Enumeration Date

(about a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IMPACT PHYSICIAN GROUP NEUROLOGY LLC
Primary location
10018 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone: (314) 208-6000 Fax:
Mailing address
21 EASTBROOK BND STE 218
PEACHTREE CITY, GA 30269-1546
Phone: (678) 967-5599 Fax: (678) 519-2831
Organization Subpart
No
Authorized Official
PAUL MILLER
CEO
Phone: (678) 967-5599
Updated
Certification Date
Jul 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.