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Impact Wellness Center

Pain Medicine Physician in Decatur, GA · enumerated 2017 · authorized official Tefylon Cameron, Administrative Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336671379

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Registry record

Entity type Organization (Type 2)
Legal business name Impact Wellness Center
Practice address 1989 N Williamsburg Dr, Suite E, Decatur, GA, 30033
Phone (678) 717-9299
Fax (404) 492-8885
Enumeration date Mar 29, 2017
Last updated in NPPES Mar 29, 2017

Taxonomy & classification

208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians · License GA050322 (GA) Primary

Authorized official

Name Tefylon Cameron
Title Administrative Manager
Phone (678) 717-9299

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Impact Wellness Center?
Impact Wellness Center is registered in NPPES as a Pain Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-29.