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NPI · 1548099765 · NPPES-sourced

Second Chance Healthcare

ActiveMulti-Specialty Clinic/Center
NPI Number
1548099765
Type 2 · Organisation
Taxonomy Code
261QM1300X
Contact
(662) 304-8805
Primary practice line
Last Updated
Enumerated
Primary practice addressMS · 38930-4212
405 River RdGreenwood, MS 38930-4212
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About this NPIWhat this record shows.

NPI 1548099765 is registered to Second Chance Healthcare, a healthcare organisation classified as "Multi-Specialty Clinic/Center" and located at 405 River Rd in Greenwood, Mississippi. The organisation's authorised official is Chakita Beverly. The organisation has been enumerated in the NPI registry since 2024.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Second Chance Healthcare accepts. To confirm in-network status with your specific health plan, contact Second Chance Healthcare directly at (662) 304-8805.

Frequently asked

Yes. NPI 1548099765 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Multi-Specialty Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (662) 304-8805.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Second Chance Healthcare is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QM1300X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Multi-Specialty Clinic/Center providers in Mississippi.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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