TIMOTHY WAYNE CHAMPION (FNP-CFRN-NRP) – Family Nurse Practitioner, NPI 1316439532
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for TIMOTHY WAYNE CHAMPION (FNP-CFRN-NRP)
25 1/2 Mile Road, Albion Township, Calhoun County, Michigan, 49224, United States
CALHOUN, GA 307013026
Phone: (706) 625-4410
Type: Location
103, East 2nd Avenue, Rome, Floyd County, Georgia, 30161, United States
ROME, GA 301613210
Phone: (706) 509-3000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-07-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180727002284 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 720 | 92 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 183 | 80 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 162 | 132 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 115 | 107 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 109 | 101 | $0 |
Insurance plans in this area (ZIP 30701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Physician Assistant | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA |
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