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

Pinelake Physician Practice LLC

Organization Family Medicine Physician · NPI 1437614633

Pinelake Physician Practice LLC is a Family Medicine Physician in Clinton, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 W Clay St
Clinton, KY 42031-1317
Phone: (270) 653-0220
Fax: (270) 653-0221
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
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics Physician Taxonomy 207VX0000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1437614633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7688
Other names Jackson Purchase Primary Care - Clinton Clinic; Jackson Purchase Primary Care - Clinton Clinic
NPI enumeratedFebruary 1, 2019
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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