Curtis L Champion, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

021956 Issued in GA

Practice address

4930 Governors Dr Suite 401
Forest Park, GA 30297

Phone

(404) 361-0090

Fax

(404) 361-2564

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Michigan Medical School, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southside Medical Center, Inc.Group PAC ID 6901700723, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: curtis.champion.p1@direct.smcmed.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southside Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1235123993
  Medicare reassignment Care Compare group NPD
• Southside Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Jonesboro, GA
  • NPI 1821981234
  NPD
• Prime Immediate Care LLC

  • Urgent Care Clinic/Center
  • Douglasville, GA
  • NPI 1396924635
  NPD (past)
• Southside Medical Center, Inc.

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1174641658
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1467524835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 GOVERNORS DR SUITE 401",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "30297",
            "telephone_number": "404-361-0090",
            "fax_number": "404-361-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 GOVERNORS DR SUITE 401",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "30297",
            "telephone_number": "404-361-0090",
            "fax_number": "404-361-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "CURTIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "021956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana R Casey, NON MEDICAL PROVIDER
• Centro de Salud Familiar II , LLC
• Centro Prenatal de Georgia
• Centro Prenatal de Georgia
• John Michael Chafin I
• Chimed Fic Sa LLC
• Chimed Rehab South Atlanta, LLC
• Chimedical Diagnostics, LLC
• Nyaradzo Chitambira, DC
• Christians Medical Equipment & Supplies Inc.

• Internal Medicine Physician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.