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), 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 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
Other Names 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, MSOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
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 October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Elite Medical Southeast, Llc · NPI 1184429284
Family organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since February 13, 2025.
## Identity
- **NPI:** 1184429284 (Entity type: Organization)
- **Enumerated:** February 13, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Renew Health Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Chassity Greer, NURSE PRACTITIONER
## Practice location
- **Address:** 7165 SWINNEA RD BLDG B2, Southaven, MS 38671-6361
- **Phone:** (662) 922-2023
## Record status
- **NPPES last updated:** October 9, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184429284) · Data from the CMS NPPES public registry.