ELITE MEDICAL SOUTHEAST, LLC
NPI 1184429284
Nurse Practitioner - Family in Southaven, MS
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) is a healthcare organization registered as a family in Southaven, Mississippi and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Chassity Greer, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2318994
Elite Medical Southeast LLC · Southaven, MSFrequently 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.
Where is Elite Medical Southeast, LLC located?
Elite Medical Southeast, LLC is located at 7165 Swinnea Rd Ste 2, 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.
Does Elite Medical Southeast, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2318994) is associated with this NPI, valid through February 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Elite Medical Southeast, LLC was last updated on August 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
