NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Impact 13 Medical, Pllc

Neurology Physician in Jacksonville, FL · enumerated 2019 · authorized official Wil Germain, Owner.

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

National Provider Identifier

1548805617

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Impact 13 Medical, Pllc
Practice address 10752 Deerwood Park Blvd, South Waterview II Suite 100, Jacksonville, FL, 32256
Fax (646) 774-0386
Enumeration date Nov 13, 2019
Last updated in NPPES Dec 18, 2019

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Primary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Wil Germain
Title Owner

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-12-18. Verify at npiregistry.cms.hhs.gov.
Where is Impact 13 Medical, Pllc located?
The practice location on file with NPPES is in Jacksonville, FL.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-18.