NPIMap

Organization Active NPI

Fast Pace Medical Clinic PLLC

  • Orthopaedic Surgery Physician
  • Manchester, TN
National Provider Identifier
1053628867
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FAST PACE MEDICAL CLINIC PLLC
Practice address
1415 Hillsboro Blvd
Manchester, TN 37355-2690
Phone
(931) 253-1110
NPI assigned
Sep 1, 2010
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Harlan
Title
Director
Phone
(615) 948-9639

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1415 Hillsboro Blvd
Manchester, TN 37355-2690

Mailing address

6550 Carothers Pkwy Ste 225
Franklin, TN 37067-6662
Phone (931) 250-1110

Other identifiers 1

IdentifierTypeStateIssuer
1515574MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Fast Pace Medical Clinic PLLC133 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

1415 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 954-5605

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1053628867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 CAROTHERS PKWY STE 225",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676662",
            "telephone_number": "931-250-1110",
            "fax_number": "931-722-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552690",
            "telephone_number": "931-253-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST PACE MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-948-9639"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515574",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.