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FAST PACE MISSISSIPPI, PLLC
NPI 1851050579
Clinic/Center - Rural Health in Kosciusko, MS

Active since December 09, 2021CLIA 25D2149252 · Waiver
50 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090(931) 253-1101(931) 722-9919 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1851050579) is a healthcare organization registered as a rural health in Kosciusko, Mississippi and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1851050579
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE MISSISSIPPI, PLLC
Location Address50 VETERANS MEMORIAL DRKosciusko, MS 39090-3424
Mailing AddressPo Box 306415Nashville, TN 37230-6415 · (931) 253-1110 · Fax (931) 722-9919
Phone(931) 253-1101
Fax(931) 722-9919
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1851050579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
50 VETERANS MEMORIAL DR, Kosciusko, MS 39090
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D2149252

Fast Pace Mississippi, PLLC · Kosciusko, MS
Active · expires May 28, 2028
CLIA Number25D2149252
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorDana Martin
Laboratory Phone(662) 633-4216
Laboratory LocationFast Pace Mississippi, PLLC50 Veterans Memorial Drive, Kosciusko, MS 39090
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 4

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

ALLISON LANGFORD FNP
Nurse Practitioner (Family)
50 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090
Attala County (662) 663-4216
JULIA JOHNSON NP
Nurse Practitioner (Family)
50 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090
Attala County (662) 663-4216
REBECCA LITTLE FNP
Nurse Practitioner (Family)
50 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090
Attala County (662) 633-4216
TIARA N SANDERS NP
Nurse Practitioner (Family)
50 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090
Attala County (662) 633-4216

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 1851050579. 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 50 Veterans Memorial Dr, Kosciusko, MS 39090. The listed phone number is (931) 253-1101.

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 25D2149252) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fast Pace Mississippi, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Fast Pace Mississippi, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.