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Fast Pace Medical Clinic PLLC

Organization Active NPI Urgent Care Clinic/Center · Covington, TN

NPI 1104668987 · NPPES record last updated Jun 21, 2024

Key facts

NPI
1104668987
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
FAST PACE MEDICAL CLINIC PLLC
Practice address
1618 Highway 51 S
Covington, TN 38019-3237
Phone
(901) 313-9274
Fax
(901) 313-9275
NPI assigned
Jun 11, 2024
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 24

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

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Fast Pace Medical Clinic PLLC (133 organizations share this tax ID)

Locations

1618 Highway 51 S
Covington, TN 38019
Phone (901) 313-9013

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Yes

Addresses

Primary practice location

1618 Highway 51 S
Covington, TN 38019-3237

Mailing address

PO Box 306244
Nashville, TN 37230-6244
Phone (931) 253-1110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 21, 2024.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1104668987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306244",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306244",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193237",
            "telephone_number": "901-313-9274",
            "fax_number": "901-313-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST PACE MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, TN

All providers in Covington, TN · Urgent Care Clinic/Center in Tennessee

Sources for this page

Verify at the official NPI Registry.