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CHAMPION HEALTHCARE LLC
NPI 1508262247
Contractor in Lebanon, TN

Active since November 06, 2014CLIA 44D2178940 · Certificate of Compliance
528 W MAIN ST, LEBANON, TN 37087(615) 554-7401(615) 807-3303 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Champion Healthcare Llc NPPES

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

CHAMPION HEALTHCARE LLC (NPI 1508262247) is a healthcare organization registered as a contractor in Lebanon, Tennessee and active in the NPI registry since November 2014. The organization holds a CLIA Certificate of Compliance certificate valid through August 9, 2028 and lists Darryl Champion, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508262247
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameCHAMPION HEALTHCARE LLC
Location Address528 W MAIN STLebanon, TN 37087-3403
Mailing Address528 W Main StLebanon, TN 37087-3403 · (615) 554-7401 · Fax (615) 807-3303
Phone(615) 554-7401
Fax(615) 807-3303
Organization SubpartNo
Authorized OfficialDarryl ChampionAdministrator · (615) 554-7401
Enumeration DateNovember 6, 2014
Last NPPES UpdateApril 22, 2016
✔ NPI 1508262247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
528 W MAIN ST, Lebanon, TN 37087
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Champion Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Champion Healthcare LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Yovondya Cutler, FNP-BC
Nurse Practitioner
NPI 1629432208
607 W DUE WEST AVE STE 97
Madison, TN 37115
(615) 873-4033
✔ PECOS✔ Accepts Medicare24 mi
Olatunde Oso, MD, MSPH
Preventive Medicine
NPI 1699121558
1005 DR DB TODD JR BLVD
Nashville, TN 37208
(615) 327-6323
✔ PECOS✔ Accepts Medicare28 mi
Monyca Harris-Champion, O.T.
Occupational Therapist in Private Practice
NPI 1073514501
324 COOL SPRINGS BLVD
Franklin, TN 37067
(615) 791-7257
35 mi
Sabitha Hudek, MD
Psychiatry
NPI 1578517298
406 N SPRING ST
Mcminnville, TN 37110
(931) 507-1212
✔ PECOS47 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 44D2178940

Champion Healthcare · Lebanon, TN
Active · expires Aug 9, 2028
CLIA Number44D2178940
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2026
Certificate Expiration DateAugust 9, 2028
Laboratory DirectorDr. Christian Tagwerker
Laboratory Phone(615) 554-7401
Laboratory LocationChampion Healthcare324 N Maple St, Lebanon, TN 37087
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Healthcare LLC's NPI number?

The NPI number for Champion Healthcare LLC is 1508262247. It was assigned to this organization in the NPPES registry on November 6, 2014.

Where is Champion Healthcare LLC located?

Champion Healthcare LLC is located at 528 W Main St, Lebanon, TN 37087. The listed phone number is (615) 554-7401.

What is Champion Healthcare LLC's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

Is Champion Healthcare LLC enrolled in Medicare?

Yes. Champion Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Champion Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Champion Healthcare LLC, in Nurse Practitioner, Occupational Therapist in Private Practice, Preventive Medicine and Psychiatry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Champion Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D2178940) is associated with this NPI, valid through August 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Champion Healthcare LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Champion Healthcare LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Champion Healthcare LLC was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.