FAST PACE MEDICAL CLINIC PLLC
NPI 1639679913
Clinic/Center - Rural Health in Winchester, TN

NPI Status: Active since February 13, 2018

Contact Information

2401 DECHERD BLVD
WINCHESTER, TN
ZIP 37398
Phone: (931) 313-1388
Fax: (931) 313-1392

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 44D2102639
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-27-2025

About FAST PACE MEDICAL CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Fast Pace Medical Clinic Pllc, a primary care provider established in Winchester, Tennessee operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1639679913 assigned on February 2018. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Robert Benson (Coo)

NPI
1639679913
Provider Name
FAST PACE MEDICAL CLINIC PLLC
Entity Type
Organization
Location Address
2401 DECHERD BLVD WINCHESTER, TN 37398
Location Phone
(931) 313-1388
Location Fax
(931) 313-1392
Mailing Address
PO BOX 306244 NASHVILLE, TN 37230
Mailing Phone
(931) 253-1110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2018
Last Update Date
11-01-2021
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A primary care provider (PCP) like Fast Pace Medical Clinic Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT BENSON

Authorized Official Title
COO
Authorized Official Phone
(931) 253-1110

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1515574MEDICAID (05)TN 

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
44D2102639
Facility Type
Physician Office
Certificate Effective Date
September 28, 2023
Certificate Expiration Date
September 27, 2025
Laboratory Director
SELENA GURLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fast Pace Medical Clinic 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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639679913
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691271892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 7 + 1 + 8 + 9 + 2 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1639679913 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275097503 CLINT W SELVAGE FNP
Individual
Nurse Practitioner (Family)2401 DECHERD BLVD
WINCHESTER, TN 37398
(931) 313-1388
1558942607MRS. BRITTANY LEE RHODES FNP-C
Individual
Nurse Practitioner (Family)2401 DECHERD BLVD
WINCHESTER, TN 37398
(931) 313-1388
1336738038 EMILY KRAMER PRINCE PA-C
Individual
Physician Assistant2401 DECHERD BLVD
WINCHESTER, TN 37398
(931) 313-1388
1124486725 LISA RENEE STONE CRNP
Individual
Nurse Practitioner (Family)2401 DECHERD BLVD
WINCHESTER, TN 37398
(931) 313-1388
1174365951FAST PACE MEDICAL CLINIC PLLC
Organization
Clinic/Center (Urgent Care)2401 DECHERD BLVD
WINCHESTER, TN 37398
(931) 313-1388
1679043574 DEBORAH DENISE FINCH RN, MSN, FNP-C
Individual
Nurse Practitioner2401 DECHERD BLVD
WINCHESTER, TN 37398
(423) 451-4018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639679913, enumerated in the NPI registry as an "organization" on February 13, 2018

The provider is located at 2401 Decherd Blvd Winchester, Tn 37398 and the phone number is (931) 313-1388

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 44D2102639 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on February 13, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.