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

Q: What is Champion Care, LLC's NPI number?

The NPI number for Champion Care, LLC is 1568193175. It was assigned to this organization in the NPPES registry on June 23, 2022.

Q: What is Champion Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 23, 2022

1850 CHADWICK DR, JACKSON, MS 39204(601) 790-0233 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Champion Care, Llc NPPES

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

CHAMPION CARE, LLC (NPI 1568193175) is a healthcare organization registered as a nurse practitioner in Jackson, Mississippi and active in the NPI registry since June 2022. The organization lists Samantha N Smith, Manager, as its authorized official.

NPPES Registry Identity

NPI1568193175

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameCHAMPION CARE, LLC

Location Address1850 CHADWICK DRJackson, MS 39204-3404

Mailing AddressPo Box 41Ridgeland, MS 39158-0041

Phone(601) 790-0233

Organization SubpartNo

Authorized OfficialSamantha N SmithManager · (601) 790-0233

Enumeration DateJune 23, 2022

NPPES CertifiedJanuary 20, 2022

✔ NPI 1568193175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(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.

1850 CHADWICK DR, Jackson, MS 39204

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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

KATHRYN L. NAVARRO NP

Nurse Practitioner