Active NPI
Champion & Champion PA Inc
- Prescribing (Medical) Psychologist
- Durham, NC
National Provider Identifier
1063784304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 19912
- Legal business name
- CHAMPION & CHAMPION PA INC
- Practice address
- 2609 N Duke St
602
Durham, NC 27704-3048 - Phone
- (919) 317-4088
- NPI assigned
- Feb 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Champion, M.D.
- Title
- President
- Phone
- (919) 317-4088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | 19912 | NC | Primary |
Addresses
Primary practice location
2609 N Duke St
602
Durham, NC 27704-3048
Mailing address
PO Box 1314
Chapel Hill, NC 27514-1314
Phone (919) 317-4088
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375833600000",
"number": "1063784304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1314",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141314",
"telephone_number": "919-317-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 N DUKE ST",
"address_2": "602",
"city": "DURHAM",
"state": "NC",
"postal_code": "277043048",
"telephone_number": "919-317-4088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHAMPION & CHAMPION PA INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-02",
"last_updated": "2013-08-07",
"status": "A",
"authorized_official_last_name": "CHAMPION",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-317-4088",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NC",
"license": "19912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.