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

Pinelake Physician Practice LLC

Organization Rural Health Clinic/Center · NPI 1205494085

Pinelake Physician Practice LLC is a Rural Health Clinic/Center in Hickman, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2003 S 7th St
Hickman, KY 42050-1841
Phone: (270) 236-3337
Fax: (270) 236-3340
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1205494085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7688
Other names Jackson Purchase Primary Care Hickman Clinic; Jackson Purchase Primary Care Hickman Clinic
NPI enumeratedJune 5, 2019
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

Other providers in Hickman