Pinelake Physician Practice, LLC
Pinelake Physician Practice, LLC is a healthcare organization registered as Internal Medicine Physician in Mayfield, KY, holding Type 2 (organization) NPI 1861563439 since 2006. The authorized official on file is Charlotte Lawrence, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861563439 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pinelake Physician Practice, LLC |
| Practice address | 1029 MEDICAL CENTER CIR, Mayfield, KY, 42066 |
| Phone | 2702514590 |
| Fax | 2702514591 |
| Enumeration date | 2006-11-13 |
| Last updated in NPPES | 2026-01-07 |
Authorized official
| Name | Charlotte Lawrence |
|---|---|
| Title | Secretary |
| Phone | 6159207000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 207RC0000X | Cardiovascular Disease Physician | Secondary | — | — |
| 207X00000X | Orthopaedic Surgery Physician | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 207YS0123X | Facial Plastic Surgery Physician | Secondary | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Secondary | — | — |
| 208600000X | Surgery Physician | Secondary | — | — |
| 2086S0129X | Vascular Surgery Physician | Secondary | — | — |
| 2084N0400X | Neurology Physician | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 2085R0202X | Diagnostic Radiology Physician | Secondary | — | — |
| 163WL0100X | Lactation Consultant (Registered Nurse) | Secondary | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Pinelake Physician Practice, LLC NPI: 1861563439 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 1029 MEDICAL CENTER CIR, Mayfield, KY, 42066
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902868532 | Ruben Cuadrado | Individual | Gastroenterology Physician | Mayfield, KY |
| 1356394639 | Western Kentucky Urological Associates Psc | Organization | Urology Physician | Mayfield, KY |
| 1245284777 | Magnolia Family Practice Psc | Organization | Family Medicine Physician | Mayfield, KY |
| 1750335923 | Dale Jones | Individual | General Practice Physician | Mayfield, KY |
| 1760436174 | Jackson Purchase Cardiology | Organization | Cardiovascular Disease Physician | Mayfield, KY |
| 1457396129 | Purchase Rheumatology Pllc | Organization | Rheumatology Physician | Mayfield, KY |
| 1790860179 | Abramson Anesthesiology Services | Organization | Certified Registered Nurse Anesthetist | Mayfield, KY |
| 1619025780 | Louis Seng | Individual | Internal Medicine Physician | Mayfield, KY |
Verify this record
Cross-check NPI 1861563439 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 type of organization is Pinelake Physician Practice, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-07.