FAST PACE MISSISSIPPI, PLLC
NPI 1821755109
Clinic/Center - Rural Health in Yazoo City, MS
NPI Status: Active since November 22, 2021
Contact Information
2121 GRAND AVE
YAZOO CITY, MS
ZIP 39194
Phone: (662) 716-8071
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 25D2166244
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-13-2027
About FAST PACE MISSISSIPPI, PLLC
This page provides the complete NPI Profile along with additional information for Fast Pace Mississippi, Pllc, a primary care provider established in Yazoo City, Mississippi operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1821755109 assigned on November 2021. 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 Sydni Clemmons (Credentialing Manager)
- NPI
- 1821755109
- Provider Name
- FAST PACE MISSISSIPPI, PLLC
- Entity Type
- Organization
- Location Address
- 2121 GRAND AVE YAZOO CITY, MS 39194
- Location Phone
- (662) 716-8071
- Mailing Address
- PO BOX 306415 NASHVILLE, TN 37230
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-22-2021
- Last Update Date
- 11-22-2021
- Code Navigator
A primary care provider (PCP) like Fast Pace Mississippi, 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
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.
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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. | |||||||||
| 1 | 8 | 2 | 1 | 7 | 5 | 5 | 1 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 14 | 5 | 10 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 1 + 4 + 5 + 1 + 0 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1821755109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154935104 | DR. MIRANDA RAWLS HARPER DNP, FNP Individual | Nurse Practitioner (Family) | 2121 GRAND AVE YAZOO CITY, MS 39194 (662) 716-8071 |
| 1619669231 | SARAH R THURMON FNP Individual | Nurse Practitioner (Family) | 2121 GRAND AVE YAZOO CITY, MS 39194 (662) 716-8071 |
| 1790867448 | ARLENE F FOLEY CFNP Individual | Nurse Practitioner | 2121 GRAND AVE YAZOO CITY, MS 39194 (662) 716-8071 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821755109, enumerated in the NPI registry 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
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider's CLIA number is 25D2166244 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 November 22, 2021. 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].
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