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FAST PACE MEDICAL CLINIC PLLC
NPI 1255096616
Clinic/Center - Rural Health in Henderson, TN

Active since November 01, 2021CLIA 44D2082770 · Waiver
505 E MAIN ST, HENDERSON, TN 38340(731) 435-1488(731) 435-1489 Get Directions Write a Review

NPPES record last updated: November 1, 2021. 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 1255096616) is a healthcare organization registered as a rural health in Henderson, Tennessee and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Robert Benson, Coo, as its authorized official.

NPPES Registry Identity

NPI1255096616
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MEDICAL CLINIC PLLC
Location Address505 E MAIN STHenderson, TN 38340-2415
Mailing AddressPo Box 306244Nashville, TN 37230-6244
Phone(731) 435-1488
Fax(731) 435-1489
Organization SubpartNo
Authorized OfficialRobert BensonCoo · (931) 253-1110
Enumeration DateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
✔ NPI 1255096616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
505 E MAIN ST, Henderson, TN 38340
Open in Google Maps ↗

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 44D2082770

Fast Pace Medical Clinic, PLLC · Henderson, TN
Active · expires Aug 20, 2026
CLIA Number44D2082770
Laboratory TypeUrgent Care Clinic
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorStanley Bevis
Laboratory Phone(731) 435-1488
Laboratory LocationFast Pace Medical Clinic, PLLC505 East Main Street, Henderson, TN 38340
CLIA data matches this NPI record on: Address 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.

FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Urgent Care)
505 E MAIN ST
HENDERSON, TN 38340
Chester County (731) 435-1488

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 1255096616. It was assigned to this organization in the NPPES registry on November 1, 2021.

Where is Fast Pace Medical Clinic PLLC located?

Fast Pace Medical Clinic PLLC is located at 505 E Main St, Henderson, TN 38340. The listed phone number is (731) 435-1488.

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 44D2082770) is associated with this NPI, valid through August 20, 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 November 1, 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.