Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Healthplex and Sports Performance Center LLC

Organization Registered Dietitian · NPI 1184174914

Madison Healthplex and Sports Performance Center LLC is a Registered Dietitian in Madison, Mississippi. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 Baptist Dr
Madison, MS 39110-2030
Phone: (601) 856-7757
Fax: (601) 944-9780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1184174914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Greg Centilli — Executive Director · (601) 856-7757
Other names Madison Healthplex Performance Training Center
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016
Mailing address501 Baptist Dr, Madison, MS 39110-2030

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