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 1275178089 since 2019. The authorized official on file is Kathy Teague, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1275178089 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pinelake Physician Practice LLC |
| Practice address | 417 S 6TH ST, Mayfield, KY, 42066 |
| Phone | 2702471104 |
| Enumeration date | 2019-11-15 |
| Last updated in NPPES | 2019-11-15 |
Authorized official
| Name | Kathy Teague |
|---|---|
| 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: 1275178089 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 417 S 6TH ST, Mayfield, KY, 42066
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437252756 | Karen Deckard | Individual | Physical Therapist | Mayfield, KY |
| 1164620340 | Abid Hussain | Individual | Pediatrics Physician | Mayfield, KY |
| 1205079134 | Mayfield Pediatric Clinic Pllc | Organization | Pediatrics Physician | Mayfield, KY |
| 1922645134 | Pinelake Physician Practice LLC | Organization | Rural Health Clinic/Center | Mayfield, KY |
| 1831796416 | Nicole Schmidt | Individual | Family Nurse Practitioner | Mayfield, KY |
Verify this record
Cross-check NPI 1275178089 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
How current is this record?
Where is Pinelake Physician Practice LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-11-15.