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FAST PACE MEDICAL CLINIC PLLC
NPI 1417612789
Clinic/Center - Rural Health in Lawrenceburg, TN

Active since November 02, 2021CLIA 44D1066132 · Waiver
129 N LOCUST AVE, LAWRENCEBURG, TN 38464(931) 762-7232(931) 762-7234 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 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 1417612789) is a healthcare organization registered as a rural health in Lawrenceburg, Tennessee and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Robert Benson, Coo, as its authorized official.

NPPES Registry Identity

NPI1417612789
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MEDICAL CLINIC PLLC
Location Address129 N LOCUST AVELawrenceburg, TN 38464-3757
Mailing AddressPo Box 306244Nashville, TN 37230-6244
Phone(931) 762-7232
Fax(931) 762-7234
Organization SubpartNo
Authorized OfficialRobert BensonCoo · (931) 253-1110
Enumeration DateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1417612789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
129 N LOCUST AVE, Lawrenceburg, TN 38464
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 44D1066132

Fast Pace Medical Clinic, PLLC · Lawrenceburg, TN
Active · expires Mar 15, 2027
CLIA Number44D1066132
Laboratory TypePractitioner Other
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorSelena Gurley
Laboratory Phone(931) 762-7232
Laboratory LocationFast Pace Medical Clinic, PLLC129 North Locust, Lawrenceburg, TN 38464
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 20

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

SAMANTHA A WHITWELL FNP-BC
Nurse Practitioner (Family)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-7232
CHRISTINA I RAGASA ADAMS
Nurse Practitioner
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-7232
APRIL NICOLE CAPERTON NP
Nurse Practitioner (Family)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-7232
JAMES CLAYTON
Nurse Practitioner (Family)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-7232
FAST PACE MEDICAL CLINIC PLLC
Clinic/Center (Urgent Care)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (931) 762-7232
JESSICA MILLS BURRESS APRN
Nurse Practitioner (Psychiatric/Mental Health)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (855) 560-4999
NIKITA N DUKE CRNP
Nurse Practitioner (Psychiatric/Mental Health)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (855) 560-4999
AUSTIN WATKINS
Nurse Practitioner (Psychiatric/Mental Health)
129 N LOCUST AVE
LAWRENCEBURG, TN 38464
Lawrence County (855) 560-4999

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 1417612789. It was assigned to this organization in the NPPES registry on November 2, 2021.

Where is Fast Pace Medical Clinic PLLC located?

Fast Pace Medical Clinic PLLC is located at 129 N Locust Ave, Lawrenceburg, TN 38464. The listed phone number is (931) 762-7232.

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 44D1066132) is associated with this NPI, valid through March 15, 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 Medical Clinic PLLC was last updated on November 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.