FAST PACE MISSISSIPPI, PLLC
NPI 1215694419
Clinic/Center - Rural Health in Natchez, MS

Active since November 22, 2021CLIA 25D2238607 · Waiver
508 HIGHWAY 61 N, NATCHEZ, MS 39120(601) 861-1631 Get Directions Write a Review

NPPES record last updated: November 22, 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 1215694419) is a healthcare organization registered as a rural health in Natchez, Mississippi and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1215694419
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MISSISSIPPI, PLLC
Location Address508 HIGHWAY 61 NNatchez, MS 39120-9049
Mailing AddressPo Box 306415Nashville, TN 37230-6415
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateNovember 22, 2021
NPPES CertifiedNovember 22, 2021
NPI 1215694419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
508 HIGHWAY 61 N, Natchez, MS 39120

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 25D2238607

Fast Pace Mississippi, PLLC · Natchez, MS
Active · expires Oct 4, 2027
CLIA Number25D2238607
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorDana Martin
Laboratory Phone(601) 861-1631
Laboratory LocationFast Pace Mississippi, PLLC508 Hwy 61 N, Natchez, MS 39120
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 Mississippi, PLLC's NPI number?

The NPI number for Fast Pace Mississippi, PLLC is 1215694419. It was assigned to this organization in the NPPES registry on November 22, 2021.

Where is Fast Pace Mississippi, PLLC located?

Fast Pace Mississippi, PLLC is located at 508 Highway 61 N, Natchez, MS 39120. The listed phone number is (601) 861-1631.

What is Fast Pace Mississippi, PLLC's specialty?

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

Does Fast Pace Mississippi, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2238607) is associated with this NPI, valid through October 4, 2027. 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 Mississippi, PLLC was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.