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FAST PACE MEDICAL CLINIC PLLC
NPI 1063177368
Clinic/Center - Rural Health in Pulaski, TN

Active since November 02, 2021CLIA 44D1079354 · Waiver
1414 W COLLEGE ST, PULASKI, TN 38478(931) 363-3004(931) 363-6004 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fast Pace Medical Clinic Pllc NPPES

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

FAST PACE MEDICAL CLINIC PLLC (NPI 1063177368) is a healthcare organization registered as a rural health in Pulaski, Tennessee and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Robert Benson, Coo, as its authorized official.

NPPES Registry Identity

NPI1063177368
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MEDICAL CLINIC PLLC
Location Address1414 W COLLEGE STPulaski, TN 38478-5202
Mailing AddressPo Box 306244Nashville, TN 37230-6244
Phone(931) 363-3004
Fax(931) 363-6004
Organization SubpartNo
Authorized OfficialRobert BensonCoo · (931) 253-1110
Enumeration DateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1063177368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1414 W COLLEGE ST, Pulaski, TN 38478
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Other Identifiers 1

Medicaid1515574TN

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 44D1079354

Fast Pace Medical Clinic, PLLC · Pulaski, TN
Active · expires Jan 29, 2028
CLIA Number44D1079354
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorSelena Gurley
Laboratory Phone(931) 363-3004
Laboratory LocationFast Pace Medical Clinic, PLLC1420 West College St, Pulaski, TN 38478
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 3

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

MRS. WANDA G MOORE FNP
Nurse Practitioner (Family)
1414 W COLLEGE ST
PULASKI, TN 38478
Giles County (931) 363-3004
CARA GILES FNP-BC
Nurse Practitioner (Family)
1414 W COLLEGE ST
PULASKI, TN 38478
Giles County (931) 363-3004
NORTHSIDE MEDICAL PROFESSIONALS, P.C.
Family Medicine
1414 W COLLEGE ST
PULASKI, TN 38478
Giles County (931) 540-4210

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 1063177368. It was assigned to this organization in the NPPES registry on November 2, 2021.

Where is Fast Pace Medical Clinic PLLC located?

Fast Pace Medical Clinic PLLC is located at 1414 W College St, Pulaski, TN 38478. The listed phone number is (931) 363-3004.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1079354) is associated with this NPI, valid through January 29, 2028. 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 Medical Clinic PLLC was last updated on November 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.