Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELITE MEDICAL SOUTHEAST, LLC
NPI 1184429284
Nurse Practitioner - Family in Southaven, MS

Active since February 13, 2025
7165 SWINNEA RD BLDG B2, SOUTHAVEN, MS 38671(662) 922-2023 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 9, 2026, Oct 2, 2026, Feb 21, 2025 and 1 more (4 updates tracked since 2025).

About Elite Medical Southeast, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE MEDICAL SOUTHEAST, LLC (NPI 1184429284), doing business as Renew Health Clinic, is a healthcare organization registered as a family in Southaven, Mississippi and active in the NPI registry since February 2025. The organization lists Chassity Greer, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1184429284
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELITE MEDICAL SOUTHEAST, LLC
Location Address7165 SWINNEA RD BLDG B2Southaven, MS 38671-6361
Mailing Address7165 Swinnea Rd # 5Southaven, MS 38671-6360 · (662) 253-8302 · Fax (662) 246-2034
Organization SubpartNo
Authorized OfficialChassity GreerNurse Practitioner · (662) 922-2023
Enumeration DateFebruary 13, 2025
Last NPPES UpdateOctober 9, 20264 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1184429284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
7165 SWINNEA RD BLDG B2, Southaven, MS 38671

Other Names 1

Doing Business AsRenew Health Clinic

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Ultrasound)
7165 SWINNEA RD BLDG B2
SOUTHAVEN, MS 38671
Nurse Practitioner (Family)
7165 SWINNEA RD BLDG B2
SOUTHAVEN, MS 38671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Medical Southeast, LLC's NPI number?

The NPI number for Elite Medical Southeast, LLC is 1184429284. It was assigned to this organization in the NPPES registry on February 13, 2025. The provider is doing business as Renew Health Clinic.

Where is Elite Medical Southeast, LLC located?

Elite Medical Southeast, LLC is located at 7165 Swinnea Rd Bldg B2, Southaven, MS 38671. The listed phone number is (662) 922-2023.

What is Elite Medical Southeast, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elite Medical Southeast, LLC was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.