Organization Active NPI

Elite Medical Southeast, LLC

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1184429284
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ELITE MEDICAL SOUTHEAST, LLC
Practice address
7165 Swinnea Rd Ste 2
Southaven, MS 38671-6360
Phone
(662) 922-2023
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chassity Greer, DNP, APRN, NP-CNPI 1558761668
Title
Nurse Practitioner
Phone
(662) 922-2023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

7165 Swinnea Rd Ste 2
Southaven, MS 38671-6360

Mailing address

384 Goodman Rd E # 127
Southaven, MS 38671-9522
Phone (662) 922-2023

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2318994Elite Medical Southeast LLC7165 Swinnea Rd BLDG B, Suite 2, Southaven, MS 38671Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

7165 Swinnea Rd
Ste 2
Southaven, MS 38671
Phone (662) 922-2023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1184429284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 GOODMAN RD E # 127",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719522",
            "telephone_number": "662-922-2023",
            "fax_number": "662-246-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 SWINNEA RD STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716360",
            "telephone_number": "662-922-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL SOUTHEAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "CHASSITY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-922-2023",
        "authorized_official_credential": "DNP, APRN, NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.