Organization Active NPI

Fast Pace Kentucky PLLC

  • Rural Health Clinic/Center
  • Sanford, NC
National Provider Identifier
1861349532
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAST PACE KENTUCKY PLLC
Practice address
202 Jefferson St
Sanford, NC 27330-5636
Phone
(919) 842-5190
NPI assigned
Mar 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Christy Littlejohn
Title
Manager of Payer Enrollment
Phone
(931) 253-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

202 Jefferson St
Sanford, NC 27330-5636

Mailing address

PO Box 306599
Nashville, TN 37230-6599
Phone (931) 253-1110

Other names 1

  • Fast Pace Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811000657 NC Part A Provider - Rural Health Clinic 0143525998 1 other NPI on this enrollment
Practice locations: Sanford, NC

Rural health clinic certification: CCN 348998

Legal name
FAST PACE KENTUCKY, PLLC
Doing business as
FAST PACE HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 13, 2025
Last certification
Nov 13, 2025
Ownership / control type
1B
Organization structure
OtherProprietary
Enrollment address
202 Jefferson Street
Sanford, NC 27330-5636

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2321984Fast Pace Kentucky, PLLC202 Jefferson Street, Sanford, NC 27330Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fast Pace Kentucky PLLC42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

202 Jefferson St
Sanford, NC 27330
Phone (919) 842-5190

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Harlan Individual W-2 Managing EmployeeDirector of Pe Jan 1, 2024 100%
Operational/Managerial ControlDirector of Pe Jan 1, 2024 100%
Barry Louis Taylor Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%
Christy Littlejohn Individual W-2 Managing EmployeeManager Jan 1, 2024 100%
Operational/Managerial ControlManager Jan 1, 2024 100%
Karen Denise Daingerfield Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%
Dana Kay Martin Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1861349532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306599",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306599",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 JEFFERSON ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305636",
            "telephone_number": "919-842-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST PACE KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER OF PAYER ENROLLMENT",
        "authorized_official_telephone_number": "931-253-1110"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Pace Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.