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 1679061071 since 2018. The authorized official on file is Sara Miller, Director.

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NPI	1679061071
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	2702477795
Fax	2702472602
Enumeration date	2018-05-01
Last updated in NPPES	2018-05-01

Authorized official

Name	Sara Miller
Title	Director
Phone	6152029581

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QR1300X	Rural Health Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Pinelake Physician Practice LLC
NPI: 1679061071
Taxonomy: 261QR1300X (Rural Health Clinic/Center)
Address: 110 S 9TH ST, Mayfield, KY, 42066

Providers at this address

NPI	Name	Type	Specialty	Location
1609104546	Lela Cole	Individual	Family Nurse Practitioner	Mayfield, KY
1841650975	Williams Nurse Practitioner Group	Organization	Family Nurse Practitioner	Mayfield, KY

Verify this record

Cross-check NPI 1679061071 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?

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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-05-01.