NPIMap

Organization Active NPI

Fast Pace Kentucky PLLC

  • Rural Health Clinic/Center
  • Asheboro, NC
National Provider Identifier
1083561757
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAST PACE KENTUCKY PLLC
Practice address
508 N Fayetteville St
Asheboro, NC 27203-4729
Phone
(336) 523-0017
NPI assigned
Mar 12, 2026
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Christy Littlejohn
Title
Manager
Phone
(931) 253-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

508 N Fayetteville St
Asheboro, NC 27203-4729

Mailing address

PO Box 306599
Nashville, TN 37230-6599
Phone (931) 253-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250317003366 NC Part A Provider - Rural Health Clinic 0143525998 1 other NPI on this enrollment
Practice locations: Asheboro, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083561757. Details of each certification follow.

Rural health clinic certification: CCN 343804

Legal name
FAST PACE KENTUCKY, PLLC
Doing business as
FAST PACE HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 26, 2025
Last certification
Nov 26, 2025
Ownership / control type
1B
Organization structure
OtherProprietary
Enrollment address
508 N Fayetteville St
Asheboro, NC 27203-4729

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2313841Fast Pace Kentucky PLLC508 N. Fayetteville Street, Asheboro, NC 27203Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
Fast Pace Kentucky PLLC44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

508 N Fayetteville St
Asheboro, NC 27203
Phone (336) 523-0017

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Harlan Individual W-2 Managing EmployeeDelegated Official Jan 1, 2024
Barry Louis Taylor Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.33%
Christy Littlejohn Individual W-2 Managing EmployeeDelegated Official Jan 1, 2024
Karen Denise Daingerfield Individual 5% Or Greater Direct Ownership InterestOwner Oct 5, 2019 33.33%
Dana Kay Martin Individual 5% Or Greater Direct Ownership InterestOwner Oct 5, 2019 33.33%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1083561757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306599",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306599",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034729",
            "telephone_number": "336-523-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST PACE KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "931-253-1110"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.