Pinelake Physician Practice LLC
Pinelake Physician Practice LLC is a healthcare organization registered as Rural Health Clinic/Center in Mayfield, KY, holding Type 2 (organization) NPI 1093609612 since 2025. The authorized official on file is Charlotte Lawrence, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093609612 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pinelake Physician Practice LLC |
| Practice address | 1206 PARIS RD STE B, Mayfield, KY, 42066 |
| Phone | 2708047160 |
| Enumeration date | 2025-06-06 |
| Last updated in NPPES | 2025-06-06 |
Authorized official
| Name | Charlotte Lawrence |
|---|---|
| Title | Secretary |
| Phone | 6159207000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Pinelake Physician Practice LLC NPI: 1093609612 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 1206 PARIS RD STE B, Mayfield, KY, 42066
Verify this record
Cross-check NPI 1093609612 against the authoritative CMS record: view Pinelake Physician Practice LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Pinelake Physician Practice LLC?
Who is the authorized official for Pinelake Physician Practice LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-06.