PRIVY HEALTH, LLC
NPI 1235093238
Nurse Practitioner - Primary Care in Southaven, MS

Active since December 13, 2025CLIA 25D2341050 · Waiver
1669 STATELINE RD W STE B, SOUTHAVEN, MS 38671(901) 395-9485 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 13, 2026, Dec 13, 2025 (2 updates tracked since 2025).

About Privy Health, Llc NPPES

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

PRIVY HEALTH, LLC (NPI 1235093238) is a healthcare organization registered as a primary care in Southaven, Mississippi and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through March 25, 2028 and lists Shemeka Chandrae Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1235093238
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePRIVY HEALTH, LLC
Location Address1669 STATELINE RD W STE BSouthaven, MS 38671-1223
Mailing Address1669 Stateline Rd W Ste B, Suite BSouthaven, MS 38671-1223 · (662) 470-4710 · Fax (662) 367-8831
Organization SubpartNo
Authorized OfficialShemeka Chandrae TaylorOwner · (662) 470-4710
Enumeration DateDecember 13, 2025
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
NPI 1235093238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1669 STATELINE RD W STE B, Southaven, MS 38671

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 25D2341050

Privy Health, LLC · Southaven, MS
Active · expires Mar 25, 2028
CLIA Number25D2341050
Laboratory TypePractitioner Other
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorShemeka Taylor
Laboratory Phone(662) 874-7059
Laboratory LocationPrivy Health, LLC1669 Stateline Rd Ste B, Southaven, MS 38671
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
1669 STATELINE RD W STE B
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 Privy Health, LLC's NPI number?

The NPI number for Privy Health, LLC is 1235093238. It was assigned to this organization in the NPPES registry on December 13, 2025.

Where is Privy Health, LLC located?

Privy Health, LLC is located at 1669 Stateline Rd W Ste B, Southaven, MS 38671. The listed phone number is (901) 395-9485.

What is Privy Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Privy Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2341050) is associated with this NPI, valid through March 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Privy Health, LLC was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.