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CHAMPION FAMILY MEDICAL & WELLNESS
NPI 1407121395
Nurse Practitioner - Family in Bay St Louis, MS

Active since March 12, 2012
303B HIGHWAY 90, BAY ST LOUIS, MS 39520(228) 467-4431(228) 467-4443 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Champion Family Medical & Wellness NPPES

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

CHAMPION FAMILY MEDICAL & WELLNESS (NPI 1407121395) is a healthcare organization registered as a family in Bay St Louis, Mississippi and active in the NPI registry since March 2012. The organization lists Brandon Champion, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1407121395
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHAMPION FAMILY MEDICAL & WELLNESS
Location Address303B HIGHWAY 90Bay St Louis, MS 39520-2832
Mailing Address303b Highway 90Bay St Louis, MS 39520-2832 · (228) 467-4431 · Fax (228) 467-4443
Phone(228) 467-4431
Fax(228) 467-4443
Organization SubpartNo
Authorized OfficialBrandon ChampionOwner/manager · (251) 610-4041
Enumeration DateMarch 12, 2012
✔ NPI 1407121395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
303B HIGHWAY 90, Bay St Louis, MS 39520
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAMPION FAMILY MEDICAL & WELLNESS CENTER- URGENT CARE
Clinic/Center (Urgent Care)
303B HIGHWAY 90
BAY ST LOUIS, MS 39520
Hancock County (228) 467-4431

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 Champion Family Medical & Wellness's NPI number?

The NPI number for Champion Family Medical & Wellness is 1407121395. It was assigned to this organization in the NPPES registry on March 12, 2012.

Where is Champion Family Medical & Wellness located?

Champion Family Medical & Wellness is located at 303B Highway 90, Bay St Louis, MS 39520. The listed phone number is (228) 467-4431.

What is Champion Family Medical & Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Champion Family Medical & Wellness was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.