FAST PACE MISSISSIPPI, PLLC
NPI 1740947019
Clinic/Center - Rural Health in Ellisville, MS
About Fast Pace Mississippi, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAST PACE MISSISSIPPI, PLLC (NPI 1740947019) is a healthcare organization registered as a rural health in Ellisville, Mississippi and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Sydni Clemmons, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 25D2158625
Fast Pace Mississippi, PLLC · Ellisville, MSOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1740947019. It was assigned to this organization in the NPPES registry on November 22, 2021.
Where is Fast Pace Mississippi, PLLC located?
Fast Pace Mississippi, PLLC is located at 305 Hill St, Ellisville, MS 39437. The listed phone number is (601) 800-0118.
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 25D2158625) is associated with this NPI, valid through December 2, 2026. 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 November 22, 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.
# Fast Pace Mississippi, Pllc · NPI 1740947019
Rural Health organization in Ellisville, Mississippi. Organization record, active in the CMS NPPES registry since November 22, 2021.
## Identity
- **NPI:** 1740947019 (Entity type: Organization)
- **Enumerated:** November 22, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Sydni Clemmons, CREDENTIALING MANAGER
## Practice location
- **Address:** 305 HILL ST, Ellisville, MS 39437-2521
- **Phone:** (601) 800-0118
## Record status
- **NPPES last updated:** November 22, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740947019) · Data from the CMS NPPES public registry.