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FAST PACE HEALTH
NPI 1033890132
Clinic/Center - Rural Health in Jackson, AL

Active since July 31, 2023CLIA Certified · 6 labs
4005 N COLLEGE AVE, JACKSON, AL 36545(251) 744-6084 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fast Pace Health NPPES

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

FAST PACE HEALTH (NPI 1033890132) is a healthcare organization registered as a rural health in Jackson, Alabama and active in the NPI registry since July 2023. The organization holds 6 active CLIA laboratory certificates and lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1033890132
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MEDICAL CLINIC PLLC
Location Address4005 N COLLEGE AVEJackson, AL 36545-2024
Mailing AddressPo Box 306491Nashville, TN 37230-6491 · (931) 253-1110
Phone(251) 744-6084
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateJuly 31, 2023
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1033890132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
4005 N COLLEGE AVE, Jackson, AL 36545
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Other Names 1

Doing Business AsFast Pace Health

CLIA Laboratory Certificates CMS CLIA 6

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 44D2186841

Fast Pace Medical Clinic PLLC · White House, TN
Active · expires Jun 22, 2028
CLIA Number44D2186841
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorDana Martin
Laboratory Phone(901) 351-1791
Laboratory LocationFast Pace Medical Clinic PLLC607 Highway 76 E, White House, TN 37188
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2186842

Fast Pace Medical Clinic, PLLC · Lebanon, TN
Active · expires Jun 22, 2028
CLIA Number44D2186842
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorDana Martin
Laboratory Phone(901) 351-1791
Laboratory LocationFast Pace Medical Clinic, PLLC1128 N Castle Heights Ave, Lebanon, TN 37087
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2186843

Fast Pace Medical Clinic, PLLC · Madisonville, TN
Active · expires Jun 22, 2028
CLIA Number44D2186843
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorDana Martin
Laboratory Phone(901) 351-1791
Laboratory LocationFast Pace Medical Clinic, PLLC4008 Highway 411, Madisonville, TN 37354
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2186844

Fast Pace Medical Clinic, PLLC · Church Hill, TN
Active · expires Jun 22, 2028
CLIA Number44D2186844
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorSelena Gurley
Laboratory Phone(901) 351-1791
Laboratory LocationFast Pace Medical Clinic, PLLC1116 Highway 11W, Church Hill, TN 37642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2186846

Fast Pace Medical Clinic, PLLC · New Tazewell, TN
Active · expires Jun 22, 2028
CLIA Number44D2186846
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorDana Martin
Laboratory Phone(901) 351-1791
Laboratory LocationFast Pace Medical Clinic, PLLC402 South Broad Street, New Tazewell, TN 37825
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2190827

Fast Pace Medical Clinic PLLC · Hanover, IN
Active · expires Aug 18, 2026
CLIA Number15D2190827
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorSelena Gurley
Laboratory Phone(901) 351-1791
Laboratory LocationFast Pace Medical Clinic PLLC4152 W State Road 56, Hanover, IN 47243
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SHAQUALYN TAITE CRNP
Nurse Practitioner (Family)
4005 N COLLEGE AVE
JACKSON, AL 36545
Clarke County (251) 744-6084

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 Medical Clinic PLLC's NPI number?

The NPI number for Fast Pace Medical Clinic PLLC is 1033890132. It was assigned to this organization in the NPPES registry on July 31, 2023. The provider is doing business as Fast Pace Health.

Where is Fast Pace Medical Clinic PLLC located?

Fast Pace Medical Clinic PLLC is located at 4005 N College Ave, Jackson, AL 36545. The listed phone number is (251) 744-6084.

What is Fast Pace Medical Clinic PLLC's specialty?

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

Does Fast Pace Medical Clinic PLLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fast Pace Medical Clinic PLLC was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.