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PINELAKE PHYSICIAN PRACTICE LLC
NPI 1275178089
Clinic/Center - Rural Health in Mayfield, KY

Active since November 15, 2019
417 S 6TH ST, MAYFIELD, KY 42066(270) 247-1104 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pinelake Physician Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINELAKE PHYSICIAN PRACTICE LLC (NPI 1275178089), doing business as Jackson Purchase Primary Care Hussain Clinic, is a healthcare organization registered as a rural health in Mayfield, Kentucky and active in the NPI registry since November 2019. The organization lists Kathy Teague, Secretary, as its authorized official.

NPPES Registry Identity

NPI1275178089
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePINELAKE PHYSICIAN PRACTICE LLC
Location Address417 S 6TH STMayfield, KY 42066-2311
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (915) 920-8775
Phone(270) 247-1104
Organization SubpartNo
Authorized OfficialKathy TeagueSecretary · (615) 920-7000
Enumeration DateNovember 15, 2019
✔ NPI 1275178089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
417 S 6TH ST, Mayfield, KY 42066
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Other Names 1

Doing Business AsJackson Purchase Primary Care Hussain Clinic

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN YEVETT DECKARD PT
Physical Therapist
417 S 6TH ST, SUITE A
MAYFIELD, KY 42066
Graves County (270) 251-3590
MAYFIELD PEDIATRIC CLINIC PLLC
Pediatrics
417 S 6TH ST
MAYFIELD, KY 42066
Graves County (270) 247-1104
DR. ABID HUSSAIN M.D.
Pediatrics
417 S 6TH ST
MAYFIELD, KY 42066
Graves County (270) 247-1104
NICOLE SCHMIDT APRN
Nurse Practitioner (Family)
417 S 6TH ST
MAYFIELD, KY 42066
Graves County (270) 247-1104
PINELAKE PHYSICIAN PRACTICE LLC
Clinic/Center (Rural Health)
417 S 6TH ST
MAYFIELD, KY 42066
Graves County (270) 247-1104

Frequently Asked Questions

What is PINELAKE PHYSICIAN PRACTICE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1275178089, enumerated as an "organization" on November 15, 2019.

Where is the provider located?

The provider is located at 417 S 6TH ST MAYFIELD, KY 42066 and the phone number is (270) 247-1104.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.