CHAMPION & CHAMPION PA INC (NPI# 1063784304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063784304 |
| Entity Type | Organization |
| Organization Name | CHAMPION & CHAMPION PA INC |
| Practice Address |
2609 N Duke St 602 Durham NC 27704-3048 |
| Mailing Address |
Po Box 1314 Chapel Hill NC 27514-1314 |
| Practice Telephone | 9193174088 |
| Mailing Telephone | 9193174088 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2013-08-07 |
| Authorized Official Name | DR. LAWRENCE CHAMPION (PRESIDENT) |
| Authorized Official Telephone | 9193174088 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
19912 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2609 N DUKE ST 602 |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124019849 | Kiron Clinical Sleep Lab, LLC | Specialist | 2609 N Duke St, Suite 604, Durham, NC 27704-3048 | 2005-11-02 |
| 1184232852 | Virgina Ward | Nurse Practitioner | 2609 N Duke St, Durham, NC 27704-3048 | 2020-07-20 |
| 1679950877 | Stacey Phillips | Social Worker | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2015-04-27 |
| 1982094637 | Kelsey Daly | Nurse Practitioner | 2609 N Duke St, Suite 204, Durham, NC 27704-3048 | 2015-02-03 |
| 1174950281 | Eileen Gail Williams | Counselor | 2609 N Duke St, Suite 303b, Durham, NC 27704-3048 | 2013-10-03 |
| 1659627271 | Family Preservation Services | Community/Behavioral Health | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2012-08-01 |
| 1578820635 | Audrina Jones Bunton | Counselor | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2012-04-13 |
| 1942578554 | Premiere Health and Wellness Medical Center | Pediatrics | 2609 N Duke St, Suite 403, Durham, NC 27704-3048 | 2011-12-09 |
| 1952635161 | Jennifer Stasko | Physical Therapist | 2609 N Duke St, Suite 203, Durham, NC 27704-3048 | 2009-09-22 |
| 1710121272 | Jenny Myoung Detert | Pediatrics | 2609 N Duke St, Suite 1000, Durham, NC 27704-3048 | 2009-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
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| 1518282201 | Alpha Community Support Service LLC | Psychologist | 114 S Hancock St, Rockingham, NC 28379-3630 | 2010-04-06 |
| 1114253556 | Learning Links Educational Network Services Center | Psychologist | 5780 Ramsey Street, Fayetteville, NC 28311-3416 | 2009-10-20 |
| 1871797415 | Martin Weinrauch P.a. | Psychologist | 2850 Village Dr Ste 104, Fayetteville, NC 28304-3864 | 2007-06-14 |
| 1093727893 | Genesishouse, Inc. | Psychologist | 549 Cox Rd, Suite A, Gastonia, NC 28054-0628 | 2006-08-12 |
| 1700291663 | Chapmans Management Company | Psychologist | 918 Hope Mills Rd, Fayetteville, NC 28304-4243 | 2014-06-30 |
| 1558615237 | Access Family Servides, Inc. | Psychologist | 2018 Fort Bragg Rd, Fayetteville, NC 28303-7037 | 2012-11-02 |
| 1619231776 | Max Psychiatry PC | Psychologist | 6402 Mccrimmon Pkwy, Suite - 200, Morrisville, NC 27560-8138 | 2012-07-03 |
| 1275821597 | Therapeutic Intervention Group, LLC | Psychologist | 1100 S Mint St, Suite 108, Charlotte, NC 28203-4049 | 2011-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.