Fast Pace Medical Clinic PLLC
Organization Active NPI Urgent Care Clinic/Center · Bartlett, TN
NPI 1972347748 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1972347748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- FAST PACE MEDICAL CLINIC PLLC
- Practice address
- 3082 Kirby Whitten Road
Bartlett, TN 38134-2819 - Phone
- (901) 250-9080
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
Authorized official
- Name
- Melissa Harlan
- Title
- Director
- Phone
- (615) 948-9639
Corporate family (same tax ID) 14
Practitioners 3
-
Mekeilah Nevaun Johnson, APRN, FNP-BC, FNP-C
-
Mary K Volner, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2290409 | Fast Pace Medical Clinic, PLLC | Certificate of waiver | Sep 25, 2027 |
National Provider Directory
- Tax ID family
- Fast Pace Medical Clinic PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
3082 Kirby Whitten Road
Bartlett, TN 38134-2819
Mailing address
6550 Carothers Pkwy Ste 225
Franklin, TN 37067-6662
Phone (615) 364-1773
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- Angela Marie Farmer
- Krista Faught
- Jeffrey Faust
- Marshall Keith Faust
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All providers in Bartlett, TN · Urgent Care Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.