NPI Lens

Justin D. Rudd, PA-C

NPI 1811620420ActiveIndividual· Physician Assistant· Millington, TN

Physician Assistant (PA-C) with Fast Pace Medical Clinic PLLC, practicing in Millington, Tennessee. 134 Medicare patients in 2024, $12,309 paid; nearly all of their 169 Part D prescriptions were generic (92%).

Overview

NPI1811620420
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJul 1, 2022
Last updated in NPPESJun 1, 2023
Certified by providerJun 1, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X5315TN
Physician Assistant363A00000X—TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (TN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients134
Services billed577 across 25 procedure codes
Paid by Medicare$12,309

Part D prescriptions in 2024

Prescriptions (claims)169 · 174 30-day fills
Patients143
Total drug cost$10,047
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Millington

All physician assistants in Tennessee