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

Pinelake Physician Practice, LLC

Organization Lactation Consultant (Registered Nurse) · NPI 1861563439

Pinelake Physician Practice, LLC is a Lactation Consultant (Registered Nurse) in Mayfield, Kentucky. Works from 3 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
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

1029 Medical Center Cir
Mayfield, KY 42066-1189
Phone: (270) 251-4590
Fax: (270) 251-4591
Show map & directions

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

Additional practice locations (2)

  • 101 Main St, Fulton, KY 42041-1601 — (270) 472-5245
  • 2003 S 7th St, Hickman, KY 42050-1841

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Lactation Consultant (Registered Nurse) Taxonomy 163WL0100X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Facial Plastic Surgery Physician Taxonomy 207YS0123X
Neurology Physician Taxonomy 2084N0400X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Surgery Physician Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1861563439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7000
Other names Jackson Purchase Podiatry
NPI enumeratedNovember 13, 2006
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address330 Seven Springs Way, Atten Provider Enrollment, Brentwood, TN 37027-5098