1. Home
  2. Directory
  3. Indiana
  4. Hanover
  5. Specialist
  6. NPI Profile

FAST PACE MEDICAL CLINIC PLLC
NPI 1952801334
Specialist in Hanover, IN

Active since February 13, 2018
4152 W STATE ROAD 56, HANOVER, IN 47243(812) 762-4510 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2021, Feb 13, 2018 (2 updates tracked since 2018).

About Fast Pace Medical Clinic Pllc NPPES

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

FAST PACE MEDICAL CLINIC PLLC (NPI 1952801334) is a healthcare organization registered as a specialist in Hanover, Indiana and active in the NPI registry since February 2018. The organization lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1952801334
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAST PACE MEDICAL CLINIC PLLC
Location Address4152 W STATE ROAD 56Hanover, IN 47243-9070
Mailing AddressPo Box 1258Waynesboro, TN 38485-1258 · (931) 253-1110 · Fax (931) 722-9919
Phone(812) 762-4510
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateFebruary 13, 2018
Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1952801334 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.
4152 W STATE ROAD 56, Hanover, IN 47243
Open in Google Maps ↗

Other Identifiers 1

MedicaidPENDINGIN

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 3

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

HAYLEY BUSSEY APRN
Nurse Practitioner (Family)
4152 W STATE ROAD 56
HANOVER, IN 47243
Jefferson County (812) 762-4510
DAWN KATHLEEN SIREK FNP-C
Nurse Practitioner (Family)
4152 W STATE ROAD 56
HANOVER, IN 47243
Jefferson County (812) 762-4510
TAMARA ROYALTY FNP-C
Nurse Practitioner (Family)
4152 W STATE ROAD 56
HANOVER, IN 47243
Jefferson County (812) 762-4510

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 Medical Clinic PLLC's NPI number?

The NPI number for Fast Pace Medical Clinic PLLC is 1952801334. It was assigned to this organization in the NPPES registry on February 13, 2018.

Where is Fast Pace Medical Clinic PLLC located?

Fast Pace Medical Clinic PLLC is located at 4152 W State Road 56, Hanover, IN 47243. The listed phone number is (812) 762-4510.

What is Fast Pace Medical Clinic PLLC'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 Fast Pace Medical Clinic PLLC was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.