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CHAMPIONS CLINICAL SERVICES, LLC
NPI 1033928650
Surgery in Augusta, GA

Active since January 07, 2025
1537 WALTON WAY, AUGUSTA, GA 30904(706) 731-1200 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Champions Clinical Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPIONS CLINICAL SERVICES, LLC (NPI 1033928650) is a healthcare organization registered as a surgery in Augusta, Georgia and active in the NPI registry since January 2025. The organization lists Jon Christopher Gibbs, Owner, as its authorized official.

NPPES Registry Identity

NPI1033928650
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCHAMPIONS CLINICAL SERVICES, LLC
Location Address1537 WALTON WAYAugusta, GA 30904-3764
Mailing Address3660j J Dewey Gray CirAugusta, GA 30909-6424 · (706) 504-4651
Phone(706) 731-1200
Organization SubpartNo
Authorized OfficialJon Christopher GibbsOwner · (706) 831-0204
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1033928650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1537 WALTON WAY, Augusta, GA 30904
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Champions Clinical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Champions Clinical Services, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Monica Edenfield, NP
Nurse Practitioner
NPI 1194051664
1350 WALTON WAY
Augusta, GA 30901
(706) 774-2112
✔ PECOS✔ Accepts Medicare0.7 mi
Caitlan Boswell, NP
Nurse Practitioner
NPI 1336978436
3675 J DEWEY GRAY CIR STE 300
Augusta, GA 30909
(706) 863-9595
✔ PECOS✔ Accepts Medicare9.3 mi
Elizabeth Riordan, NP
Nurse Practitioner
NPI 1811126741
3675 J DEWEY GRAY CIRCLE SUITE 300
Augusta, GA 30909
(706) 863-9595
✔ PECOS✔ Accepts Medicare9.3 mi
Jeremy Garrard, APRN
Nurse Practitioner
NPI 1386871895
1747 LANGFORD DR BLDG 400-103
Watkinsville, GA 30677
(706) 521-8413
✔ PECOS✔ Accepts Medicare91 mi
Joseph Fongod, FNP-C
Nurse Practitioner
NPI 1528676046
1289 HEARTWOOD AVE
Mcdonough, GA 30253
(404) 432-9400
✔ PECOS✔ Accepts Medicare127 mi
Neha Amin, D.O.
General Surgery
NPI 1699107698
125 OAKSIDE CT STE 202
Canton, GA 30114
(908) 770-6832
✔ PECOS✔ Accepts Medicare153 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champions Clinical Services, LLC's NPI number?

The NPI number for Champions Clinical Services, LLC is 1033928650. It was assigned to this organization in the NPPES registry on January 7, 2025.

Where is Champions Clinical Services, LLC located?

Champions Clinical Services, LLC is located at 1537 Walton Way, Augusta, GA 30904. The listed phone number is (706) 731-1200.

What is Champions Clinical Services, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Champions Clinical Services, LLC enrolled in Medicare?

Yes. Champions Clinical Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Champions Clinical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Champions Clinical Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and General Surgery (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Champions Clinical Services, LLC was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.