Organization Active NPI

Pace Health Services, Inc.

Doing business as Pace Prosthetics

  • Prosthetic/Orthotic Supplier
  • Collierville, TN
National Provider Identifier
1124697578
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PACE HEALTH SERVICES, INC.
Doing business as
Pace Prosthetics
Practice address
2150 W Poplar Ave Ste 102
Collierville, TN 38017-0625
Phone
(901) 290-9601
Fax
(901) 234-4085
NPI assigned
Jun 21, 2021
Last updated
May 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Mr. Theodore Macdonald
Title
Ceo/Managing Ceo
Phone
(615) 214-3777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2150 W Poplar Ave Ste 102
Collierville, TN 38017-0625

Mailing address

2150 W Poplar Ave Ste 102
Collierville, TN 38017-0625
Phone (901) 290-9601

Other names 1

  • Pace Prosthetics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122002291 TN DME Supplier - Prosthetic Personnel 9032321377 Practice locations: Collierville, TN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pace Health Services, Inc.2150 W Poplar Ave, Collierville, TN 38017-0625(901) 290-9601 Limb Prostheses Does not accept assignmentParticipating since Aug 2, 2001

National Provider Directory

National Provider Directory
Tax ID family
Pace Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2150 W Poplar Ave
Ste 102
Collierville, TN 38017
Phone (901) 221-7212

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1124697578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W POPLAR AVE STE 102",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170625",
            "telephone_number": "901-290-9601",
            "fax_number": "901-234-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 W POPLAR AVE STE 102",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170625",
            "telephone_number": "901-290-9601",
            "fax_number": "901-234-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "CEO/MANAGING CEO",
        "authorized_official_telephone_number": "615-214-3777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pace Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.