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SECOND CHANCE HEALTHCARE
NPI 1548099765
Clinic/Center - Multi-Specialty in Greenwood, MS

Active since July 27, 2024CLIA 25D2310069 · Waiver
405 RIVER RD, GREENWOOD, MS 38930(662) 304-8805(662) 362-8061 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Jul 27, 2024 (2 updates tracked since 2024).

About Second Chance Healthcare NPPES

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

SECOND CHANCE HEALTHCARE (NPI 1548099765) is a healthcare organization registered as a multi-specialty in Greenwood, Mississippi and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Chakita Lavett Beverly, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1548099765
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSECOND CHANCE HEALTHCARE
Location Address405 RIVER RDGreenwood, MS 38930-4212
Mailing Address1101 Mississippi AveGreenwood, MS 38930-5224 · (662) 374-3209
Phone(662) 304-8805
Fax(662) 362-8061
Organization SubpartNo
Authorized OfficialChakita Lavett BeverlyNurse Practitioner/owner · (662) 374-3209
Enumeration DateJuly 27, 2024
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1548099765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
405 RIVER RD, Greenwood, MS 38930
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 25D2310069

Second Chance Healthcare LLC · Greenwood, MS
Active · expires Aug 25, 2026
CLIA Number25D2310069
Laboratory TypePractitioner Other
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorChakita L. Beverly
Laboratory Phone(662) 304-8805
Laboratory LocationSecond Chance Healthcare LLC405 River Road, Greenwood, MS 38930
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

GREENWOOD LEFLORE HOSPITAL
Neurological Surgery
405 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 451-7812
DR. JOHN PHENIS HEY III MD
Family Medicine (Geriatric Medicine)
405 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 453-6177
MRS. CHAKITA LAVET BEVERLY AGPCNP-C; PMHNP-BC
Nurse Practitioner (Primary Care)
405 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 304-8805
DR. JIMMY MILLER MD
Neurological Surgery
405 RIVER RD
GREENWOOD, MS 38930
Leflore County (662) 451-7812

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 Second Chance Healthcare's NPI number?

The NPI number for Second Chance Healthcare is 1548099765. It was assigned to this organization in the NPPES registry on July 27, 2024.

Where is Second Chance Healthcare located?

Second Chance Healthcare is located at 405 River Rd, Greenwood, MS 38930. The listed phone number is (662) 304-8805.

What is Second Chance Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Second Chance Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2310069) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Second Chance Healthcare accept?

Health plans from Molina Healthcare list Second Chance Healthcare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Second Chance Healthcare was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.