Champion Care, LLC
NPI 1568193175ActiveOrganization· Nurse Practitioner· Jackson, MS
Nurse Practitioner in Jackson, Mississippi, registered in NPPES in June 2022. The authorized official on file is Samantha N. Smith, Manager.
Overview
| NPI | 1568193175 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2022 |
| Last updated in NPPES | Jun 23, 2022 |
| Certified by provider | Jan 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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