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Pinelake Physician Practice LLC

Rural Health Clinic/Center in Mayfield, KY · enumerated 2018 · authorized official Sara Miller, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679061071

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Registry record

Entity type Organization (Type 2)
Legal business name Pinelake Physician Practice LLC
Other name <Unavail>
Practice address 110 S 9th St, Mayfield, KY, 42066
Phone (270) 247-7795
Fax (270) 247-2602
Enumeration date May 1, 2018
Last updated in NPPES May 1, 2018

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Sara Miller
Title Director
Phone (615) 202-9581

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-05-01. Verify at npiregistry.cms.hhs.gov.
Where is Pinelake Physician Practice LLC located?
The practice location on file with NPPES is in Mayfield, KY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-01.