MR. ARCHIE JOEL III CHAMPION (PA-C) – Physician Assistant, NPI 1710944681
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MR. ARCHIE JOEL III CHAMPION (PA-C)
3301 FIRST STREET EAST
SUITE A
VIDALIA, GA 30474
Phone: (912) 537-4411
Fax: (912) 538-8485
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $93.
Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Solventum Corporation ($28).
Total Amount
$93
General + Research + Ownership
Payments
4
Total payment records
General Amount
$93
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Solventum Corporation | $28 |
| Anika Therapeutics, Inc. | $23 |
| MOXIMED, INC | $23 |
| Boston Scientific Corporation | $19 |
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: 2008-08-27
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 |
|---|---|---|---|---|
| I20080827000192 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 663 | 408 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 406 | 88 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 328 | 226 | $0 |
| 73564 | X-ray of knee, 4 or more views | 321 | 214 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 313 | 219 | $0 |
Insurance plans in this area (ZIP 30474)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery, Sports Medicine | GA | |
| Physical Therapist In Private Practice | AL | |
| Orthopedic Surgery | GA | |
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | GA |
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