Internal Medicine
PINELAKE PHYSICIAN PRACTICE, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1861563439 · enumerated 2006-11-13 · record updated 2026-01-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CHARLOTTE LAWRENCE, Secretary · (615) 920-7000
Other names: JACKSON PURCHASE PODIATRY
Addresses and phones
- Mailing address 330 SEVEN SPRINGS WAY, ATTEN PROVIDER ENROLLMENT, BRENTWOOD, TN, 37027-5098 (615) 920-7000 Fax (615) 920-8775 Google Maps Apple Maps OpenStreetMap
- Practice location 1029 MEDICAL CENTER CIR, MAYFIELD, KY, 42066-1189 (270) 251-4590 Fax (270) 251-4591 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X
- Durable Medical Equipment & Medical Supplies 332B00000X
- Internal Medicine, Cardiovascular Disease 207RC0000X
- Orthopaedic Surgery 207X00000X
- Family Medicine 207Q00000X
- Otolaryngology, Facial Plastic Surgery 207YS0123X
- Podiatrist, Foot & Ankle Surgery 213ES0103X
- Surgery 208600000X
- 2086S0129X 2086S0129X
- Psychiatry & Neurology, Neurology 2084N0400X
- Physician Assistant 363A00000X
- Radiology, Diagnostic Radiology 2085R0202X
- Registered Nurse, Lactation Consultant 163WL0100X
- Nurse Anesthetist, Certified Registered 367500000X
- Internal Medicine 207R00000X · Primary
In this directory
Locations and evidence
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Practice location
MAYFIELD, KY, 420661189
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.