Pace Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15454 Issued in MS

Legal business name

PACE MEDICAL CLINIC, LLC

Practice address

406 South Front Street
Richton, MS 39476

Phone

(601) 788-6381

Fax

(601) 788-9716

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

James Michael Pace, M.D.

Title

Manager

Phone

(601) 788-6381

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679615306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394760850",
            "telephone_number": "601-788-6381",
            "fax_number": "601-788-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SOUTH FRONT STREET",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "39476",
            "telephone_number": "601-788-6381",
            "fax_number": "601-788-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-788-6381",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "15454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01629346",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary McSwain
• Jennifer Leigh Mills, MPT
• Jeffrey Jerome Mitchell, NP
• Brenda Joyce Nicholson
• Victoria Rachelle Owens, PMHNP-BC
• James Michael Pace, M.D.
• Par Medical Inc
• Perry Community Care Center LLC
• Ivry Rayborn, PCIDDT
• RH Emergency Medicine of Perry County LLC

• Family Medicine Physician in Richton, MS
• Providers in Richton, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.