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NPISignal

Organization

Impact Healthcare, PLLC

NPI Record: ActiveFamily Medicine — Addiction Medicine
NPI1487185153
Jackson, Tennessee

Provider's NPPES record last updated: May 14, 2026

Overview

Entity Type
Organization
NPI
1487185153
Primary Specialty
Family Medicine — Addiction Medicine
Practice Location
Jackson, Tennessee
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:51 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A family medicine physician who specializes in the diagnosis and treatment of addictions.

    Taxonomy code 207QA0401X

Practice Locations

Practice Location

37 Sandstone Cir

Ste 92

Jackson, Tennessee 38305-2089

Phone: (731) 445-4879

Additional Practice Location

801 Hill St Ste A

Springfield, Tennessee 37172-2951

Phone: (615) 382-3002

Other Names

  • Impact Healthcare LLCReported May 22, 2023
  • Impact Healthcare LLCReported December 7, 2022
  • Boyett Healthcare of TennesseeReported May 22, 2023

Record Information

Enumeration Date
March 24, 2017
Provider's NPPES Record Last Updated
May 14, 2026
Certification Date
May 14, 2026
NPISignal NPPES Dataset
August 2026

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