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 1922645134

Pinelake Physician Practice LLC is a Rural Health Clinic/Center in Mayfield, 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.

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Practice location Address checks out

417 S 6th St
Mayfield, KY 42066-2311
Phone: (270) 247-1104
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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 number1922645134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7688
Other names Jackson Purchase Primary Care Hussain Clinic
NPI enumeratedDecember 6, 2019
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098

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