Second Chance Healthcare
NPI 1548099765ActiveOrganization· Clinic/Center, Multi-Specialty· Greenwood, MS
Clinic/Center, Multi-Specialty in Greenwood, Mississippi, registered in NPPES in July 2024. The authorized official on file is Chakita Lavett Beverly, AGPCNP-C, PMHNP-BC, Nurse Practitioner/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548099765 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2024 |
| Last updated in NPPES | Aug 13, 2024 |
| Certified by provider | Aug 13, 2024 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Clinic/Center, Multi-Specialty providers in Greenwood
- 1205805918