Heather M Champion, NP - Medicare Nurse Practitioner in Moultrie, GA

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Heather M Champion, NP is a medicare enrolled "Nurse Practitioner - Family" in Moultrie, Georgia. She went to University Of Alabama School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Colquitt Regional Hospitalists, Llc and her current practice location is 3131 S Main St, Moultrie, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 502-9782.

Heather M Champion is licensed to practice in Georgia (license number RN195224) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356682447.

Contact Information

Heather M Champion, NP
3131 S Main St,
Moultrie, GA 31768-6925
(229) 502-9782
Not Available

Map and Direction




Provider's Profile

Full NameHeather M Champion
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location3131 S Main St, Moultrie, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Heather M Champion attended and graduated from University Of Alabama School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1356682447
  • Provider Enumeration Date: 03/14/2013
  • Last Update Date: 07/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1355580093
  • Enrollment ID: I20130610000621

Medical Identifiers

Medical identifiers for Heather M Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356682447NPI-NPPES
003133074DMedicaidGA
RN195224OtherGASTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN195224 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Colquitt Regional Medical CenterMoultrie, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Colquitt Regional Hospitalists, Llc074956878018

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Heather M Champion allows following entities to bill medicare on her behalf.
Entity NameColquitt Regional Hospitalists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851840912
PECOS PAC ID: 0749568780
Enrollment ID: O20161026002551

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather M Champion is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heather M Champion, NP
Po Box 2876,
Moultrie, GA 31776-2876

Ph: (229) 502-9782		Heather M Champion, NP
3131 S Main St,
Moultrie, GA 31768-6925

Ph: (229) 502-9782

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.