Active NPI
Pace Health Services, Inc.
Doing business as Pace Prosthetics
- Prosthetic/Orthotic Supplier
- Collierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Pace Prosthetics
- Prosthetic/Orthotic Supplier
- Chattanooga, TN
- NPI 1275571606
9032321377
-
dba Pace Prosthetics
- Prosthetic/Orthotic Supplier
- North Charleston, SC
- NPI 1700602513
9032321377
-
dba Pace Prosthetics
- Prosthetic/Orthotic Supplier
- Fort Myers, FL
- NPI 1851163778
9032321377
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pace Health Services, Inc. | Limb Prostheses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Pace Health Services Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- Chattanooga, TN
- NPI 1164161444
-
dba Pace Prosthetics
- Prosthetic/Orthotic Supplier
- Chattanooga, TN
- NPI 1275571606
-
dba Pace Prosthetics
- Prosthetic/Orthotic Supplier
- North Charleston, SC
- NPI 1700602513
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.