CHAMPION NURSING SERVICES, INC
NPI 1801493937
Hospice Care, Community Based in Conyers, GA

Active since October 01, 2020
2365 WALL ST SE STE 210, CONYERS, GA 30013(404) 719-0631(678) 658-7634 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Champion Nursing Services, Inc NPPES

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

CHAMPION NURSING SERVICES, INC (NPI 1801493937), doing business as Champion Hospice, Inc, is a healthcare organization registered as a hospice care, community based in Conyers, Georgia and active in the NPI registry since October 2020. The organization lists Kethy Michel, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801493937
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameCHAMPION NURSING SERVICES, INC
Location Address2365 WALL ST SE STE 210Conyers, GA 30013-2197
Mailing Address2365 Wall St Se Ste 230Conyers, GA 30013-2197 · (404) 587-0945 · Fax (678) 658-7634
Fax(678) 658-7634
Organization SubpartNo
Authorized OfficialKethy MichelAdministrator · (404) 719-0631
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1801493937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
2365 WALL ST SE STE 210, Conyers, GA 30013

Other Names 1

Doing Business AsChampion Hospice, Inc

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Champion Nursing Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20210423001061Part A · HospiceDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Champion Hospice Inc (CMS certification number 851551), from CMS Care Compare.

Champion Hospice Inc

Hospice · Conyers, GA
OwnershipFor-Profit
CMS Certification Number851551
CMS RegionRegion 4
Medicare-Certified SinceOctober 15, 2021
Location2365 Wall Street Suite 210Conyers, GA 30013 · Newton County

Other Providers at the Same Location NPPES

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

Hospice Care, Community Based
2365 WALL ST SE STE 210
CONYERS, GA 30013

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 Nursing Services, Inc's NPI number?

The NPI number for Champion Nursing Services, Inc is 1801493937. It was assigned to this organization in the NPPES registry on October 1, 2020. The provider is doing business as Champion Hospice, Inc.

Where is Champion Nursing Services, Inc located?

Champion Nursing Services, Inc is located at 2365 Wall St SE Ste 210, Conyers, GA 30013. The listed phone number is (404) 719-0631.

What is Champion Nursing Services, Inc's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Is Champion Nursing Services, Inc enrolled in Medicare?

Yes. Champion Nursing Services, Inc is registered in the Medicare PECOS enrollment system.

When is Champion Nursing Services, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Georgia, Hospice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is Champion Nursing Services, Inc a Medicare-certified hospice?

Yes. Champion Hospice Inc is a Medicare-certified hospice (CMS certification number 851551), certified since October 15, 2021.

When was this NPI record last updated?

The NPPES record for Champion Nursing Services, Inc was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.