FAST PACE MISSISSIPPI, PLLC
NPI 1003573379
Clinic/Center - Rural Health in Magee, MS

Active since November 22, 2021CLIA 25D2153914 · Waiver
1806 SIMPSON HIGHWAY 49, MAGEE, MS 39111(601) 439-1420 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fast Pace Mississippi, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAST PACE MISSISSIPPI, PLLC (NPI 1003573379) is a healthcare organization registered as a rural health in Magee, Mississippi and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1003573379
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MISSISSIPPI, PLLC
Location Address1806 SIMPSON HIGHWAY 49Magee, MS 39111-5391
Mailing AddressPo Box 306415Nashville, TN 37230-6415
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateNovember 22, 2021
NPPES CertifiedNovember 22, 2021
NPI 1003573379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1806 SIMPSON HIGHWAY 49, Magee, MS 39111

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2153914

Fast Pace Mississippi, PLLC · Magee, MS
Active · expires Aug 30, 2026
CLIA Number25D2153914
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorDana Martin
Laboratory Phone(601) 439-1420
Laboratory LocationFast Pace Mississippi, PLLC1806 Simpson Hwy 49, Magee, MS 39111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1806 SIMPSON HIGHWAY 49
MAGEE, MS 39111
Nurse Practitioner
1806 SIMPSON HIGHWAY 49
MAGEE, MS 39111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fast Pace Mississippi, PLLC's NPI number?

The NPI number for Fast Pace Mississippi, PLLC is 1003573379. It was assigned to this organization in the NPPES registry on November 22, 2021.

Where is Fast Pace Mississippi, PLLC located?

Fast Pace Mississippi, PLLC is located at 1806 Simpson Highway 49, Magee, MS 39111. The listed phone number is (601) 439-1420.

What is Fast Pace Mississippi, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Fast Pace Mississippi, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2153914) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fast Pace Mississippi, PLLC was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.