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FAST PACE MEDICAL CLINIC PLLC
NPI 1336804772
Clinic/Center - Rural Health in Centerville, AL

Active since November 01, 2021CLIA 01D2304698 · Waiver
998 2ND AVE E., CENTERVILLE, AL 35121(205) 395-5014 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 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 1336804772) is a healthcare organization registered as a rural health in Centerville, Alabama and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1336804772
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MEDICAL CLINIC PLLC
Location Address998 2ND AVE E.Centerville, AL 35121-2506
Mailing AddressPo Box 306244Nashville, TN 37230-6244
Phone(205) 395-5014
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateNovember 1, 2021
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1336804772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
998 2ND AVE E., Centerville, AL 35121
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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 01D2304698

Fast Pace Medical Clinic, PLLC · Oneonta, AL
Active · expires May 15, 2028
CLIA Number01D2304698
Laboratory TypePractitioner Other
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorMs. Selena Gurley
Laboratory Phone(256) 253-1110
Laboratory LocationFast Pace Medical Clinic, PLLC998 2nd Ave E, Oneonta, AL 35121
CLIA data matches this NPI record on: Name
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 1336804772. 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 998 2nd Ave E., Centerville, AL 35121. The listed phone number is (205) 395-5014.

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 01D2304698) is associated with this NPI, valid through May 15, 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 March 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.