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FAST PACE MISSISSIPPI, PLLC
NPI 1023688918
Specialist in Iuka, MS

Active since July 01, 2021
1709 W QUITMAN ST, IUKA, MS 38852(901) 351-1791 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1023688918) is a healthcare organization registered as a specialist in Iuka, Mississippi and active in the NPI registry since July 2021. The organization lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1023688918
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAST PACE MISSISSIPPI, PLLC
Location Address1709 W QUITMAN STIuka, MS 38852-7365
Mailing AddressPo Box 306415Nashville, TN 37230-6415 · (901) 351-1791
Phone(901) 351-1791
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1023688918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1709 W QUITMAN ST, Iuka, MS 38852
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Other Identifiers 1

Other0000MS · Medicaid Pending

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Family Medicine
1709 W QUITMAN ST
IUKA, MS 38852
Tishomingo County (662) 423-4656
FAST PACE MISSISSIPPI, PLLC
Clinic/Center (Rural Health)
1709 W QUITMAN ST
IUKA, MS 38852
Tishomingo County (662) 443-4122

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 1023688918. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Fast Pace Mississippi, PLLC located?

Fast Pace Mississippi, PLLC is located at 1709 W Quitman St, Iuka, MS 38852. The listed phone number is (901) 351-1791.

What is Fast Pace Mississippi, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fast Pace Mississippi, PLLC was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.