FAST PACE MISSISSIPPI, PLLC
NPI 1447769559
Clinic/Center - Rural Health in Ripley, MS

Active since September 21, 2017CLIA Certified · 7 labs
517 CITY AVE S, RIPLEY, MS 38663(662) 587-8206(662) 587-8207 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2021, Mar 8, 2019, Dec 5, 2017 and 1 more (4 updates tracked since 2017).

About Fast Pace Mississippi, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAST PACE MISSISSIPPI, PLLC (NPI 1447769559) is a healthcare organization registered as a rural health in Ripley, Mississippi and active in the NPI registry since September 2017. The organization holds 7 active CLIA laboratory certificates and lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1447769559
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MISSISSIPPI, PLLC
Location Address517 CITY AVE SRipley, MS 38663
Mailing Address6550 Carothers Pkwy Ste 225Franklin, TN 37067-6662 · (931) 253-1110 · Fax (931) 253-1110
Fax(662) 587-8207
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateSeptember 21, 2017
Last NPPES UpdateOctober 15, 20214 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
✔ NPI 1447769559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
517 CITY AVE S, Ripley, MS 38663

Other Identifiers 1

Medicaid07277821MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fast Pace Mississippi, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

459

Medicare enrollment records show 459 clinicians reassign Medicare billing to Fast Pace Mississippi, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner442
Clinical Social Worker5
Mental Health Counselor5
Family Practice3
Emergency Medicine2
Psychiatry2

Nearest to this location (20)

See all 459
Nurse Practitioner
NPI 1366840829
517 CITY AVE S
Ripley, MS 38663
(662) 587-8206
✔ PECOSSame address
Nurse Practitioner
NPI 1487135778
519 CITY AVE S
Ripley, MS 38663
(662) 587-8206
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1225547185
1331 CITY AVE N
Ripley, MS 38663
(662) 993-9336
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1467022574
1173 HIGHWAY 370
Dumas, MS 38625
(662) 587-3699
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1538624580
28301 HIGHWAY 15
Walnut, MS 38683
(662) 223-0063
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1205587854
1115 N 2ND ST
Booneville, MS 38829
(662) 480-4141
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1972022382
474 W BANKHEAD ST
New Albany, MS 38652
(662) 316-3144
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1649204629
474 W BANKHEAD ST
New Albany, MS 38652
(662) 534-7777
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1326593336
474 W BANKHEAD ST
New Albany, MS 38652
(662) 534-7777
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1114600764
200 STATE HIGHWAY 30 W STE 100
New Albany, MS 38652
(662) 538-2680
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1356853345
611 ALCORN DR
Corinth, MS 38834
(662) 293-1000
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1801247945
611 ALCORN DR
Corinth, MS 38834
(662) 293-1000
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1134785769
304 S PARKWAY ST
Corinth, MS 38834
(662) 642-1560
✔ PECOS✔ Accepts Medicare29 mi
Mental Health Counselor
NPI 1922373802
635 W COLLEGE ST
Florence, AL 35630
(256) 764-3431
✔ PECOS72 mi
Clinical Social Worker
NPI 1740421692
104 1ST AVE SOUTH
Collinwood, TN 38450
(931) 724-9000
✔ PECOS✔ Accepts Medicare75 mi
Mental Health Counselor
NPI 1396437620
700 SUNSET DR
Grenada, MS 38901
(662) 307-2884
✔ PECOS83 mi
Family Practice
NPI 1033220512
1117 SUNSET DR SUITE 101
Grenada, MS 38901
(662) 227-1744
✔ PECOS✔ Accepts Medicare83 mi
Clinical Social Worker
NPI 1700548369
129 N LOCUST AVE
Lawrenceburg, TN 38464
(855) 560-4999
✔ PECOS✔ Accepts Medicare98 mi
Mental Health Counselor
NPI 1720596356
129 N LOCUST AVE
Lawrenceburg, TN 38464
(931) 762-7232
✔ PECOS✔ Accepts Medicare98 mi
Clinical Social Worker
NPI 1083799837
129 N LOCUST AVE
Lawrenceburg, TN 38464
(855) 560-4999
✔ PECOS✔ Accepts Medicare98 mi
See all 459 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 7

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 25D2139634

Fast Pace Mississippi, PLLC · Ripley, MS
Active · expires Nov 5, 2027
CLIA Number25D2139634
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorDana Martin
Laboratory Phone(662) 587-8206
Laboratory LocationFast Pace Mississippi, PLLC517 City Avenue South, Ripley, MS 38663
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2309294

Fast Pace Mississippi PLLC · Hot Springs, AR
Active · expires Aug 12, 2028
CLIA Number04D2309294
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateAugust 12, 2028
Laboratory DirectorDana Martin
Laboratory Phone(931) 253-1110
Laboratory LocationFast Pace Mississippi PLLC3301 Central Avenue, Hot Springs, AR 71913
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2253128

Fast Pace Mississippi, PLLC · Olive Branch, MS
Active · expires Feb 16, 2028
CLIA Number25D2253128
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorDana Martin
Laboratory Phone(931) 253-1110
Laboratory LocationFast Pace Mississippi, PLLC6244 Highway 305 N, Olive Branch, MS 38654
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2248498

Fast Pace Mississippi, PLLC · Ridgeland, MS
Active · expires Jan 12, 2028
CLIA Number25D2248498
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorDana Martin
Laboratory Phone(931) 253-1110
Laboratory LocationFast Pace Mississippi, PLLC1612 E County Line Rd, Ridgeland, MS 39157
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2319917

Fast Pace Mississippi PLLC · Jonesboro, AR
Active · expires Mar 9, 2027
CLIA Number04D2319917
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorDana Martin
Laboratory Phone(931) 253-1110
Laboratory LocationFast Pace Mississippi PLLC1407 E Highland Dr, Jonesboro, AR 72401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 25D2319117

Fast Pace Mississippi PLLC · Meridian, MS
Active · expires Feb 23, 2027
CLIA Number25D2319117
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorSelena Gurely
Laboratory Phone(931) 253-1110
Laboratory LocationFast Pace Mississippi PLLC2700 N Hills Street, Meridian, MS 39305
CLIA data matches this NPI record on: 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 1447769559. It was assigned to this organization in the NPPES registry on September 21, 2017.

Where is Fast Pace Mississippi, PLLC located?

Fast Pace Mississippi, PLLC is located at 517 City Ave S, Ripley, MS 38663. The listed phone number is (662) 587-8206.

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.

Is Fast Pace Mississippi, PLLC enrolled in Medicare?

Yes. Fast Pace Mississippi, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fast Pace Mississippi, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 459 clinicians in 6 Medicare specialties reassign their Medicare billing to Fast Pace Mississippi, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (442), Clinical Social Worker (5) and Mental Health Counselor (5). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fast Pace Mississippi, PLLC hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fast Pace Mississippi, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Fast Pace Mississippi, 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 Mississippi, PLLC was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.