NPIMap

Individual provider Active NPI

Cherie Champagne, M.D.

  • Interventional Cardiology Physician
  • Gulfport, MS
National Provider Identifier
1720432107
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
31553 Issued in MS
Practice address
15190 Community Rd Ste 260
Gulfport, MS 39503-3471
Phone
(228) 575-8020
Fax
(228) 539-0493
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 31553 MS Primary

Addresses

Primary practice location

15190 Community Rd Ste 260
Gulfport, MS 39503-3471

Mailing address

2101 Highway 90
Gautier, MS 39553-5340
Phone (228) 497-7576

Other names 1

  • Cherie Dahm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719000668 MS Practitioner - Interventional Cardiology 2567822893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Mississippi School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

1721 Medical Park Dr
Biloxi, MS 39532-2109
Phone (228) 392-7429

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Aug 1, 2023 Accepting new patients
Singing River Gulfport CurrentSince Aug 1, 2023 Accepting new patients
Singing River Gulfport CurrentSince Aug 1, 2023 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

1721 Medical Park Dr
Ste 200
Biloxi, MS 39532
Phone (228) 248-2572

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

15190 Community Rd
Ste 360
Gulfport, MS 39503
Phone (228) 265-9277

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

2 Doctors Dr
Ocean Springs, MS 39564
Phone (228) 372-8270

Interoperability endpoints

  • Direct secure messaging: cchampagne@direct.mysrhs.com

Organizations & group practices 4

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

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1720432107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7576",
            "fax_number": "228-497-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD STE 260",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033471",
            "telephone_number": "228-575-8020",
            "fax_number": "228-539-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE",
        "first_name": "CHERIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "31553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERIE",
            "last_name": "DAHM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.