FAST PACE MISSISSIPPI, PLLC
NPI 1821755109
Clinic/Center - Rural Health in Yazoo City, MS

Active since November 22, 2021CLIA 25D2166244 · Waiver
2121 GRAND AVE, YAZOO CITY, MS 39194(662) 716-8071 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 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 1821755109) is a healthcare organization registered as a rural health in Yazoo City, Mississippi and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1821755109
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MISSISSIPPI, PLLC
Location Address2121 GRAND AVEYazoo City, MS 39194-2312
Mailing AddressPo Box 306415Nashville, TN 37230-6415
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateNovember 22, 2021
NPPES CertifiedNovember 22, 2021
NPI 1821755109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2121 GRAND AVE, Yazoo City, MS 39194

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
25D2166244
Facility Type
Physician Office
Certificate Effective Date
May 14, 2025
Certificate Expiration Date
May 13, 2027
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.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
2121 GRAND AVE
YAZOO CITY, MS 39194
Nurse Practitioner (Family)
2121 GRAND AVE
YAZOO CITY, MS 39194

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821755109, enumerated as an "organization" on November 22, 2021.

The provider is located at 2121 GRAND AVE YAZOO CITY, MS 39194 and the phone number is (662) 716-8071.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.