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FAST PACE MEDICAL CLINIC PLLC
NPI 1073013306
Dermatology in Tullahoma, TN

Active since February 13, 2018CLIA 44D2118204 · Waiver
600 N JACKSON ST, TULLAHOMA, TN 37388(931) 253-1110 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Mar 22, 2021, Feb 13, 2018 (3 updates tracked since 2018).

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 1073013306) is a healthcare organization registered as a dermatology in Tullahoma, Tennessee and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Melissa Harlan, Director, as its authorized official.

NPPES Registry Identity

NPI1073013306
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFAST PACE MEDICAL CLINIC PLLC
Location Address600 N JACKSON STTullahoma, TN 37388-3542
Mailing Address6550 Carothers Pkwy Ste 225Franklin, TN 37067-6662 · (931) 253-1110
Phone(931) 253-1110
Organization SubpartNo
Authorized OfficialMelissa HarlanDirector · (615) 948-9639
Enumeration DateFebruary 13, 2018
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1073013306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedFamily MedicineTaxonomy 207Q00000X
600 N JACKSON ST, Tullahoma, TN 37388
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Other Identifiers 1

Medicaid1515574TN

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 44D2118204

Fast Pace Medical Clinic, PLLC · Tullahoma, TN
Active · expires Aug 31, 2026
CLIA Number44D2118204
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSelena Gurley
Laboratory Phone(615) 988-1571
Laboratory LocationFast Pace Medical Clinic, PLLC600 North Jackson Street, Tullahoma, TN 37388
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ELIZABETH ILLENBERG FNP
Nurse Practitioner (Psychiatric/Mental Health)
600 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 563-5469
HANNAH SHOFFNER
Physician Assistant
600 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 563-5469
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Urgent Care)
600 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 563-5469
SARAH VANTREASE PA
Physician Assistant
600 N JACKSON ST
TULLAHOMA, TN 37388
Coffee County (931) 563-5469

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 1073013306. It was assigned to this organization in the NPPES registry on February 13, 2018.

Where is Fast Pace Medical Clinic PLLC located?

Fast Pace Medical Clinic PLLC is located at 600 N Jackson St, Tullahoma, TN 37388. The listed phone number is (931) 253-1110.

What is Fast Pace Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Fast Pace Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2118204) is associated with this NPI, valid through August 31, 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 Medical Clinic PLLC was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.