Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin D Rudd, PA-C

Individual provider Physician Assistant · NPI 1811620420

Justin D Rudd, PA-C is a Physician Assistant in Millington, Tennessee. Qualified in 2022, 4 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8188 US Highway 51 N
Millington, TN 38053-1750
Phone: (901) 614-4455
Fax: (901) 614-4526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 291 Groom Ave, Covington, TN 38019-5410 — (901) 517-8394

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5315 (TN)
Physician Assistant Taxonomy 363A00000X (TN)

Record details

NPI number1811620420
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 1, 2022
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

Other providers in Millington