Psychiatry & Neurology, Neurology
IMPACT PHYSICIAN GROUP NEUROLOGY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1467340380 · enumerated 2025-06-27 · record updated 2025-07-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: PAUL MILLER CEO, CEO · (678) 967-5599
Addresses and phones
- Practice location 10018 KENNERLY RD, SAINT LOUIS, MO, 63128-2106 (314) 208-6000 Google Maps Apple Maps OpenStreetMap
- Mailing address 21 EASTBROOK BND STE 218, PEACHTREE CITY, GA, 30269-1546 (678) 967-5599 Fax (678) 519-2831 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Neurology 2084N0400X · Primary
In this directory
MO St. Louis County Saint Louis Psychiatry & Neurology, Neurology
Locations and evidence
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Practice location
SAINT LOUIS, MO, 631282106
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.