Jerry D Champ, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

19168 Issued in SC

Practice address

100 Healthy Way Ste 1250
Anderson, SC 29621-7917

Phone

(864) 512-6927

Fax

(864) 512-6687

NPI assigned

Dec 21, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Cardiovascular Disease (Cardiology)

Education

University of Pittsburgh School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anmed Health 348 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anmed Health Hospital, Anderson, SC, CCN 420027
• Cannon Memorial Hospital Hospital, Pickens, SC, CCN 420011

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jchamp10745@direct.anmedhealth.net

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.

• Anmed Health

  • Family Medicine Physician
  • Clemson, SC
  • NPI 1427005727

  Cardiovascular Disease, SC

  Medicare reassignment Care Compare group NPD
• Anmed Health

  • Family Medicine Physician
  • Anderson, SC
  • NPI 1639102270

  SC

  Medicare reassignment Care Compare group NPD
• Anmed Health

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1710918321

  SC

  Medicare reassignment Care Compare group NPD
• Anmed Health

  • Cardiovascular Disease Physician
  • Anderson, SC
  • NPI 1730470592

  Cardiovascular Disease, SC

  Medicare reassignment Care Compare group NPD
• Cannon Memorial Hospital

  • General Acute Care Hospital
  • Pickens, SC
  • NPI 1497744254

  SC

  Medicare reassignment NPD
• Greenville Health System

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1568532513

  SC

  Medicare reassignment NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217

  SC

  Medicare reassignment NPD
• Anmed Health

  • Durable Medical Equipment & Medical Supplies
  • Anderson, SC
  • NPI 1083640940
  Care Compare group
• Anmed Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Anderson, SC
  • NPI 1164746392
  Care Compare group
• Anmed Health

  • Home Health Agency
  • Anderson, SC
  • NPI 1376579474
  Care Compare group
• Anmed Health

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531
  Care Compare group
• Anmed Health

  • Rural Health Clinic/Center
  • Iva, SC
  • NPI 1619914983
  Care Compare group

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

• Anmed Health

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531

  Hospital

  Care Compare affiliation
• Cannon Memorial Hospital

  • General Acute Care Hospital
  • Pickens, SC
  • NPI 1497744254

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1881670941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1250",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217917",
            "telephone_number": "864-512-6927",
            "fax_number": "864-512-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1250",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217917",
            "telephone_number": "864-512-6927",
            "fax_number": "864-512-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMP",
        "first_name": "JERRY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "19168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191688",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00970760",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centerwell Senior Primary Care (SC) PC
• Centerwell Senior Primary Care (SC) PC
• Sherry Cason Chafin, (CPSS) SAS
• Matthew Carter Chambers, PT
• Jason Andrew Champ, PA
• Allison Gratzer Chandler, M.D.
• Ashley Chandler, PHARM.D.
• Rashmi Chandra, M.B.B.S.
• Lauren Chapman, LPC, ATR
• Charles a Thompson MD Pulmonary & Sleep

• All providers in Anderson, SC
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.