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

Stephanie K Fennema, PA-C

Individual provider Physician Assistant · NPI 1194751792

Stephanie K Fennema, PA-C is a Physician Assistant in Spring Hill, Tennessee. Qualified in 2005, 21 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Georgia and Tennessee.

Years since qualifying
21
Licensed in
FL, GA, TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3813 Old Port Royal Rd N
Spring Hill, TN 37174-2813
Phone: (931) 487-1006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4106 Columbia Road, Martinez, GA 30907 — (706) 863-1440

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3168 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PAT 9103434 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 005416 (GA)

Record details

NPI number1194751792
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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