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FAST PACE MISSISSIPPI, PLLC
NPI 1548929268
Clinic/Center - Rural Health in Philadelphia, MS

Active since December 09, 2021CLIA 25D2149306 · Waiver
1017 W BEACON ST, PHILADELPHIA, MS 39350(931) 253-1110(931) 722-9919 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 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 1548929268) is a healthcare organization registered as a rural health in Philadelphia, Mississippi and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1548929268
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MISSISSIPPI, PLLC
Location Address1017 W BEACON STPhiladelphia, MS 39350-3218
Mailing AddressPo Box 306415Nashville, TN 37230-6415 · (931) 253-1110 · Fax (931) 722-9919
Phone(931) 253-1110
Fax(931) 722-9919
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1548929268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1017 W BEACON ST, Philadelphia, MS 39350
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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 25D2149306

Fast Pace Mississippi, PLLC · Philadelphia, MS
Active · expires May 30, 2028
CLIA Number25D2149306
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorDana Martin
Laboratory Phone(769) 200-0730
Laboratory LocationFast Pace Mississippi, PLLC1017 West Beacon Street, Philadelphia, MS 39350
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MR. JASON BRIAN COPELAND FNP-C
Nurse Practitioner (Family)
1017 W BEACON ST
PHILADELPHIA, MS 39350
Neshoba County (769) 200-0730
ANNA CATHERINE LEWIS FNP-C
Nurse Practitioner (Family)
1017 W BEACON ST
PHILADELPHIA, MS 39350
Neshoba County (769) 200-0730
MRS. CHERMAL RONDELL MOORE NURSE PRACTITIONER
Nurse Practitioner
1017 W BEACON ST
PHILADELPHIA, MS 39350
Neshoba County (769) 200-0730

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 1548929268. It was assigned to this organization in the NPPES registry on December 9, 2021.

Where is Fast Pace Mississippi, PLLC located?

Fast Pace Mississippi, PLLC is located at 1017 W Beacon St, Philadelphia, MS 39350. The listed phone number is (931) 253-1110.

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 25D2149306) is associated with this NPI, valid through May 30, 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 Mississippi, PLLC was last updated on December 9, 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.