FASTTRACK IC ANCILLARY LLC
NPI 1780134411
Specialist in Dublin, GA

Q: What is Fasttrack Ic Ancillary LLC's NPI number?

The NPI number for Fasttrack Ic Ancillary LLC is 1780134411. It was assigned to this organization in the NPPES registry on October 5, 2016.

Q: What is Fasttrack Ic Ancillary LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 05, 2016

1110 HILLCREST PKWY, UNIT #C, DUBLIN, GA 31021(478) 296-2800 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fasttrack Ic Ancillary Llc NPPES

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

FASTTRACK IC ANCILLARY LLC (NPI 1780134411) is a healthcare organization registered as a specialist in Dublin, Georgia and active in the NPI registry since October 2016. The organization lists Jared Deraney, President, as its authorized official.

NPPES Registry Identity

NPI1780134411

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameFASTTRACK IC ANCILLARY LLC

Location Address1110 HILLCREST PKWY, UNIT #CDublin, GA 31021-3687

Mailing AddressPo Box 4380Alpharetta, GA 30023-4380 · (888) 728-0882

Phone(478) 296-2800

Organization SubpartNo

Authorized OfficialJared DeraneyPresident · (888) 728-0882

Enumeration DateOctober 5, 2016

✔ NPI 1780134411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1110 HILLCREST PKWY, Dublin, GA 31021

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

LANIE WELCH FNP-C

Nurse Practitioner (Family)

1110 HILLCREST PKWY
DUBLIN, GA 31021

Laurens County (912) 245-1145

ANTHONY YAWN NP

Nurse Practitioner

1110 HILLCREST PKWY
DUBLIN, GA 31021

Laurens County (478) 296-2800

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 Fasttrack Ic Ancillary LLC's NPI number?

The NPI number for Fasttrack Ic Ancillary LLC is 1780134411. It was assigned to this organization in the NPPES registry on October 5, 2016.

Where is Fasttrack Ic Ancillary LLC located?

Fasttrack Ic Ancillary LLC is located at 1110 Hillcrest Pkwy Unit #c, Dublin, GA 31021. The listed phone number is (478) 296-2800.

What is Fasttrack Ic Ancillary LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fasttrack Ic Ancillary LLC was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.