NPIMap

Organization Active NPI

Fast Pace Kentucky PLLC

Doing business as Fast Pace Urgent Care

  • Family Nurse Practitioner
  • Franklin, KY
National Provider Identifier
1457716706
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FAST PACE KENTUCKY PLLC
Doing business as
Fast Pace Urgent Care
Practice address
1475 Nashville Rd
Franklin, KY 42134
Phone
(270) 813-1111
Fax
(270) 813-1112
NPI assigned
Dec 30, 2015
Last updated
Oct 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Mr. Matt Davis
Title
Chief Financial Officer
Phone
(615) 988-1574

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X KY
Multi-Specialty Clinic/Center 261QM1300X KY
Urgent Care Clinic/Center 261QU0200X KY
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X KY Primary

Addresses

Primary practice location

1475 Nashville Rd
Franklin, KY 42134

Mailing address

5141 Virginia Way
Suite 390
Brentwood, TN 37027-7572
Phone (615) 988-1571

Other names 1

  • Fast Pace Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216002913 KY Part B Supplier - Clinic/Group Practice 0143525998 Receives reassigned benefits from 419 practitioners
Practice locations: Lebanon, KY; Leitchfield, KY; London, KY; Madisonville, KY; Mayfield, KY; Maysville, KY; Middlesboro, KY; Monticello, KY…

National Provider Directory

National Provider Directory

Locations

127 Foothills Ave
Ste 1
Albany, KY 42602
Phone (606) 387-0047

796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933

1000 W Park Dr
Lawrenceburg, KY 40342
Phone (502) 353-3417

920 S Main St
Madisonville, KY 42431
Phone (270) 821-2321

1253 Paris Rd
Mayfield, KY 42066
Phone (270) 247-2455

506 N 12th St
Murray, KY 42071
Phone (270) 415-7055

115 Lee Ave
#101
Pikeville, KY 41501
Phone (606) 727-5296

1023 W Main St
Princeton, KY 42445
Phone (270) 254-5840

2147 NC Highway 56
Creedmoor, NC 27522
Phone (984) 538-4416

673 Cardinal Dr
Henderson, NC 27536
Phone (252) 654-6406

1897 N Center St
Hickory, NC 28601
Phone (828) 624-0691

1635 College Ave
Spindale, NC 28160
Phone (828) 330-9190

2209 Nash St NW
Wilson, NC 27896
Phone (252) 668-6033

Practitioners & affiliated clinicians

Practitioners 424

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.

View all 424

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1457716706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY",
            "address_2": "SUITE 390",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277572",
            "telephone_number": "615-988-1571",
            "fax_number": "615-988-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 NASHVILLE RD",
            "city": "FRANKLIN",
            "state": "KY",
            "postal_code": "42134",
            "telephone_number": "270-813-1111",
            "fax_number": "270-813-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST PACE KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "615-988-1574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Pace Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.