FAST PACE MISSISSIPPI, PLLC
NPI 1548929268
Clinic/Center - Rural Health in Philadelphia, MS
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 25D2149306
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-30-2028
About FAST PACE MISSISSIPPI, PLLC
This page provides the complete NPI Profile along with additional information for Fast Pace Mississippi, Pllc, a primary care provider established in Philadelphia, Mississippi operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1548929268 assigned on December 2021. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Sydni Clemmons (Credentialing Manager)
- NPI
- 1548929268 Verify this NPI
- Provider Name
- FAST PACE MISSISSIPPI, PLLC
- Entity Type
- Organization
- Location Address
- 1017 W BEACON ST PHILADELPHIA, MS 39350
- Location Phone
- (931) 253-1110
- Location Fax
- (931) 722-9919
- Mailing Address
- PO BOX 306415 NASHVILLE, TN 37230
- Mailing Phone
- (931) 253-1110
- Mailing Fax
- (931) 722-9919
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-09-2021
- Last Update Date
- 12-09-2021
- Code Navigator
A primary care provider (PCP) like Fast Pace Mississippi, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2149306
- Facility Type
- Physician Office
- Certificate Effective Date
- May 31, 2026
- Certificate Expiration Date
- May 30, 2028
- Laboratory Director
- DANA MARTIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fast Pace Mississippi, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
PHILADELPHIA, MS 39350
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548929268, enumerated as an "organization" on December 09, 2021.
The provider is located at 1017 W BEACON ST PHILADELPHIA, MS 39350 and the phone number is (931) 253-1110.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
