SECOND CHANCE HEALTHCARE
NPI 1548099765
Clinic/Center - Multi-Specialty in Greenwood, MS
NPI Status: Active since July 27, 2024
Contact Information
405 RIVER RD
GREENWOOD, MS
ZIP 38930
Phone: (662) 304-8805
Fax: (662) 362-8061
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 25D2310069
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 08-25-2026
About SECOND CHANCE HEALTHCARE
This page provides the complete NPI Profile along with additional information for Second Chance Healthcare, a provider established in Greenwood, Mississippi operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1548099765 assigned on July 2024. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Chakita Lavett Beverly Agpcnp-c, Pmhnp-bc (Nurse Practitioner/owner)
- NPI
- 1548099765
- Provider Name
- SECOND CHANCE HEALTHCARE
- Entity Type
- Organization
- Location Address
- 405 RIVER RD GREENWOOD, MS 38930
- Location Phone
- (662) 304-8805
- Location Fax
- (662) 362-8061
- Mailing Address
- 1101 MISSISSIPPI AVE GREENWOOD, MS 38930
- Mailing Phone
- (662) 374-3209
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-27-2024
- Last Update Date
- 08-13-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2310069
- Facility Type
- Practitioner Other
- Certificate Effective Date
- August 26, 2024
- Certificate Expiration Date
- August 25, 2026
- Laboratory Director
- CHAKITA L. BEVERLY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Second Chance Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SECOND CHANCE HEALTHCARE
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1548099765, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
GREENWOOD, MS 38930
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548099765, enumerated as an "organization" on July 27, 2024.
The provider is located at 405 RIVER RD GREENWOOD, MS 38930 and the phone number is (662) 304-8805.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
