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

Pinelake Physician Practice LLC

Organization Rural Health Clinic/Center · NPI 1679061071

Pinelake Physician Practice LLC is a Rural Health Clinic/Center in Mayfield, Kentucky. Registered with an NPI since 2018.

In the registry since
2018
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

110 S 9th St
Mayfield, KY 42066-2208
Phone: (270) 247-7795
Fax: (270) 247-2602
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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 number1679061071
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Miller — Director · (615) 202-9581
Other names Jackson Purchase Primary Care Williams Clinic
NPI enumeratedMay 1, 2018
Last updated in NPPESMay 1, 2018
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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