Organization Active NPI

Champion EMS

  • Land Ambulance
  • Atlanta, GA
National Provider Identifier
1265087779
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CHAMPION EMS
Practice address
2945 Stone Hogan Connector Rd SW Ste 211
Atlanta, GA 30331-2839
Phone
(770) 744-9157
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arelious DunnNPI 1760944334
Title
Owner
Phone
(770) 744-9157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2945 Stone Hogan Connector Rd SW Ste 211
Atlanta, GA 30331-2839

Mailing address

2945 Stone Hogan Connector Rd SW Ste 211
Atlanta, GA 30331-2839
Phone (770) 744-9157

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Atlanta

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191230002091 GA Part B Supplier - Ambulance Service Supplier 4385078211 Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2266312Champion EMS2945 Stone Hogan Connector, Suite 211, Atlanta, GA 30331Certificate of waiverAug 8, 2026

National Provider Directory

National Provider Directory

Locations

2945 Stone Hogan Connector Rd SW
Ste 211
Atlanta, GA 30331
Phone (770) 744-9157

6722 Highway 85
Ste 5
Riverdale, GA 30274
Phone (770) 744-9157

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1265087779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 STONE HOGAN CONNECTOR RD SW STE 211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312839",
            "telephone_number": "770-744-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 STONE HOGAN CONNECTOR RD SW STE 211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312839",
            "telephone_number": "770-744-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ARELIOUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-744-9157"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "address_1": "6722 Highway 85 Ste 5",
            "city": "Riverdale",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302742373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.