CHAMPION WELLNESS OF HAINES CITY, LLC
NPI 1932821378
Chiropractor in Haines City, FL

Q: What is Champion Wellness Of Haines City, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since September 13, 2022

82 MAXCY PLAZA CIR, HAINES CITY, FL 33844(863) 421-9700(863) 421-1953 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Champion Wellness Of Haines City, Llc NPPES

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

CHAMPION WELLNESS OF HAINES CITY, LLC (NPI 1932821378) is a healthcare organization registered as a chiropractor in Haines City, Florida and active in the NPI registry since September 2022. The organization lists Carl Conforti, Doctor, as its authorized official.

NPPES Registry Identity

NPI1932821378

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCHAMPION WELLNESS OF HAINES CITY, LLC

Location Address82 MAXCY PLAZA CIRHaines City, FL 33844-2488

Mailing Address82 Maxcy Plaza CirHaines City, FL 33844-2488 · (863) 421-9700 · Fax (863) 421-1953

Phone(863) 421-9700

Fax(863) 421-1953

Organization SubpartNo

Authorized OfficialCarl ConfortiDoctor · (863) 421-9700

Enumeration DateSeptember 13, 2022

NPPES CertifiedSeptember 13, 2022

✔ NPI 1932821378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

82 MAXCY PLAZA CIR, Haines City, FL 33844

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.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 Wellness Of Haines City, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Champion Wellness Of Haines City, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Brett Summers, D.L.

Chiropractic

NPI 1548831993

82 MAXCY PLAZA CIR
Haines City, FL 33844

(863) 421-9700

✔ Accepts MedicareSame address

David Levy, D.C.

Chiropractic

NPI 1891913976

4054 SAWYER RD
Sarasota, FL 34233

(941) 552-1189

✔ Accepts Medicare77 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 Champion Wellness Of Haines City, LLC's NPI number?

The NPI number for Champion Wellness Of Haines City, LLC is 1932821378. It was assigned to this organization in the NPPES registry on September 13, 2022.

Where is Champion Wellness Of Haines City, LLC located?

Champion Wellness Of Haines City, LLC is located at 82 Maxcy Plaza Cir, Haines City, FL 33844. The listed phone number is (863) 421-9700.

What is Champion Wellness Of Haines City, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Champion Wellness Of Haines City, LLC enrolled in Medicare?

Yes. Champion Wellness Of Haines City, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Champion Wellness Of Haines City, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Champion Wellness Of Haines City, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Champion Wellness Of Haines City, LLC accept?

Health plans from Wellpoint list Champion Wellness Of Haines City, 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 Wellness Of Haines City, LLC was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.