P Praxis·MD
● Active Type 1 · Individual

DR. Tina Michell Champion, D.D.S.

Dentist·Milledgeville, GA· NPI 1407019243 · Enumerated 2008 · 17 years on NPI
Champion is 1 of 10 dentist providers in Milledgeville and 1 of 2660 in Georgia.
NPI age
17 years
Enumerated 2008-07-02
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-05-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
17 years
↑ 3 yr above median (14 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
1980m N Columbia St
Milledgeville, GA 310612020
📞 4783877015
Mailing address
1547 Bell Flower Ct
Stone Mountain, GA 300883707
📞 7082183296fax 7085750401

Additional practice locations

1 secondary location on file with NPPES.

Location 2
424 Decatur St Se
Atlanta, GA 303121848
📞 7082183296fax 7085750401

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN015080 taxonomy 122300000X
  • Dentist
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    IL license #019025754GA license #DN015080 taxonomy 1223G0001X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 2660 Dentist providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related