CHAMPION CARE, LLC
NPI 1568193175
Nurse Practitioner in Jackson, MS

NPI Status: Active since June 23, 2022

Contact Information

1850 CHADWICK DR
JACKSON, MS
ZIP 39204
Phone: (601) 790-0233

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  • Organization
  • Nurse Practitioner
  • Accepts Insurance

About CHAMPION CARE, LLC

This page provides the complete NPI Profile along with additional information for Champion Care, Llc, a provider established in Jackson, Mississippi operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1568193175 assigned on June 2022. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Samantha N Smith (Manager)

NPI
1568193175
Provider Name
CHAMPION CARE, LLC
Entity Type
Organization
Location Address
1850 CHADWICK DR JACKSON, MS 39204
Location Phone
(601) 790-0233
Mailing Address
PO BOX 41 RIDGELAND, MS 39158
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2022
Last Update Date
06-23-2022
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A nurse practitioner (NP) like Champion Care, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMANTHA N SMITH

Authorized Official Title
MANAGER
Authorized Official Phone
(601) 790-0233

Reviews for CHAMPION CARE, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568193175
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128296114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 2 + 9 + 6 + 1 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1568193175 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730161779MR. MARK C. BURRELL CRNA
Individual
Nurse Anesthetist, Certified Registered1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1848
1407803422MR. THOMAS BRADLEY COSGROVE CRNA
Individual
Nurse Anesthetist, Certified Registered1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1848
1699716449 WERNER HADDON MD
Individual
Emergency Medicine1850 CHADWICK DR
JACKSON, MS 39204
(904) 805-1300
1679517411DR. DENZIL G ROBERTSON MD
Individual
Internal Medicine1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-2022
1053355040 TERRY KEITH BRANTLEY MD
Individual
Emergency Medicine1850 CHADWICK DR
JACKSON, MS 39204
(904) 805-1300
1689618670 SHUNTE JONES MD
Individual
Emergency Medicine1850 CHADWICK DR
JACKSON, MS 39204
(904) 805-1300
1003846015 KATHRYN L. NAVARRO NP
Individual
Nurse Practitioner1850 CHADWICK DR
JACKSON, MS 39204
(904) 805-1300
1497788178DR. DONALD R BONNER D.O.
Individual
Anesthesiology1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1848
1033129440 GREGORY S ODEN M.D.
Individual
Internal Medicine1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-2022
1437169844 CARTER WATTERS M.D.
Individual
Internal Medicine1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-2022
1588674816 CINDY C CRUISE NP
Individual
Nurse Practitioner (Family)1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-2471
1770676975 VINITA GULANIKAR MD
Individual
Anesthesiology1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1848
1689767782 DAVID BARNETT MD
Individual
Anesthesiology1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1848
1548353683 LARRY JAMES NIXON JR. MD
Individual
Anesthesiology1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1848
1780777847 AUBREY DUANE WILLIAMSON MD
Individual
Anesthesiology1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1848
1245312354 THOMAS BRADLEY JOHNSON CRNA
Individual
Nurse Anesthetist, Certified Registered1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1848
1609959501 KATHRYN LINK CARTER CRNA
Individual
Nurse Anesthetist, Certified Registered1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1848
1134295066AMERIPATH MISSISSIPPI INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)1850 CHADWICK DR
JACKSON, MS 39204
(601) 932-8370
1154489664HINDS EMERGENCY GROUP LLC
Organization
Emergency Medicine1850 CHADWICK DR
JACKSON, MS 39204
(601) 376-1000
1346450749CENTRAL MS MED EKG
Organization
General Acute Care Hospital1850 CHADWICK DR
JACKSON, MS 39204
(772) 581-6226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568193175, enumerated in the NPI registry as an "organization" on June 23, 2022

The provider is located at 1850 Chadwick Dr Jackson, Ms 39204 and the phone number is (601) 790-0233

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 23, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.