Second Chance Healthcare

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SECOND CHANCE HEALTHCARE

Practice address

405 River Rd
Greenwood, MS 38930-4212

Phone

(662) 304-8805

Fax

(662) 362-8061

NPI assigned

Jul 27, 2024

Organization subpart

No

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

Authorized official

Name

Chakita Lavett Beverly, AGPCNP-C, PMHNP-BCNPI 1689183246

Title

Nurse Practitioner/Owner

Phone

(662) 374-3209

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• Chakita Lavet Beverly, AGPCNP-C; PMHNP-BC

  • Primary Care Nurse Practitioner
  • Greenwood, MS
  • NPI 1689183246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1548099765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MISSISSIPPI AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389305224",
            "telephone_number": "662-374-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304212",
            "telephone_number": "662-304-8805",
            "fax_number": "662-362-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "BEVERLY",
        "authorized_official_first_name": "CHAKITA",
        "authorized_official_middle_name": "LAVETT",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "662-374-3209",
        "authorized_official_credential": "AGPCNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S H Lambdin MD PLLC
• Neeka Sanders, MD
• Jenny S Schmitz, OTR/L
• Nakeitha Scott
• Suzanne N/a Scott
• Melvin L Self Jr., CRNA
• Adriana Velez Sellers, OTR
• Sarah Shanks, PHARMD
• Amanda Nicola Shannon-Kline
• Jim Shaw, DPT

• Multi-Specialty Clinic/Center in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Multi-Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.