Champion Healthcare LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

CHAMPION HEALTHCARE LLC

Practice address

528 W Main St
Lebanon, TN 37087-3403

Phone

(615) 554-7401

Fax

(615) 807-3303

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Darryl ChampionNPI 1255650867

Title

Administrator

Phone

(615) 554-7401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 8

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

• Yovondya F. Cutler, FNP-BC

  • Nurse Practitioner
  • Madison, TN
  • NPI 1629432208
  Medicare reassignment NPD
• Monyca R Harris-Champion, O.T.

  • Occupational Therapist
  • Franklin, TN
  • NPI 1073514501
  Medicare reassignment NPD
• Sabitha Sunderrao Hudek, MD

  • Psychiatry Physician
  • McMinnville, TN
  • NPI 1578517298
  Medicare reassignment NPD
• Olatunde Oso, MD, MSPH

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Nashville, TN
  • NPI 1699121558
  Medicare reassignment NPD
• Darryl Deshawn Champion, MDX

  • Other Specialist/Technologist
  • Lebanon, TN
  • NPI 1255650867
  NPD (past) Authorized official
• Lauren Louise Hansen, MED, MSN, WHNP-BC,

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
  • NPI 1275875205
  NPD (past)
• Angie C Riddle, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1962745356
  NPD (past)
• Marc E Abramson, MD

  • Anesthesiology Physician
  • Christiansted, VI
  • NPI 1730264110
  NPD (past)

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1508262247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873403",
            "telephone_number": "615-554-7401",
            "fax_number": "615-807-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873403",
            "telephone_number": "615-554-7401",
            "fax_number": "615-807-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-554-7401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Recovery of Middle Tennessee, LLC
• Cedars Nursing Home Inc.
• Centerwell Senior Primary Care TN PC
• Chad T Price MD PC
• Champion Dentistry, LLC
• Darryl Deshawn Champion, MDX
• Charles a. Mitchell
• Ramiro Colten Chavez, RBT
• Amber Lynn Chessor
• Charlotte Zuniga Claycomb, RPH

• Contractor in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Contractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.