FAST PACE MEDICAL CLINIC PLLC
NPI 1104668862
Clinic/Center - Urgent Care in Jackson, TN

Active since June 12, 2024CLIA 44D2267275 · Waiver
2066 N HIGHLAND AVE, JACKSON, TN 38305(731) 513-6250 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 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 1104668862) is a healthcare organization registered as an urgent care in Jackson, Tennessee and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through August 22, 2026 and lists Melissa Harlan, Director, as its authorized official.

NPPES Registry Identity

NPI1104668862
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameFAST PACE MEDICAL CLINIC PLLC
Location Address2066 N HIGHLAND AVEJackson, TN 38305-4919
Mailing Address6550 Carothers Pkwy Ste 225Franklin, TN 37067-6662 · (615) 364-1773
Organization SubpartNo
Authorized OfficialMelissa HarlanDirector · (615) 948-9639
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
NPI 1104668862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
2066 N HIGHLAND AVE, Jackson, TN 38305

Accepted Insurance

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 44D2267275

Fast Pace Medical Clinic PLLC · Jackson, TN
Active · expires Aug 22, 2026
CLIA Number44D2267275
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorSelena Gurley
Laboratory Phone(731) 513-6250
Laboratory LocationFast Pace Medical Clinic PLLC2066 North Highland Avenue, Jackson, TN 38305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1104668862. It was assigned to this organization in the NPPES registry on June 12, 2024.

Where is Fast Pace Medical Clinic PLLC located?

Fast Pace Medical Clinic PLLC is located at 2066 N Highland Ave, Jackson, TN 38305. The listed phone number is (731) 513-6250.

What is Fast Pace Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

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

Yes. A Certificate of Waiver (number 44D2267275) is associated with this NPI, valid through August 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fast Pace Medical Clinic PLLC accept?

Health plans from BlueCross BlueShield of Tennessee list Fast Pace Medical Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fast Pace Medical Clinic PLLC was last updated on June 12, 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.