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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PINELAKE PHYSICIAN PRACTICE LLC
NPI 1437614633
Clinic/Center - Rural Health in Clinton, KY

Active since February 01, 2019CLIA 18D1028465 · Microscopy
106 W CLAY ST, CLINTON, KY 42031(270) 653-0220(270) 653-0221 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 16, 2026, Jun 11, 2019, May 20, 2019 and 1 more (4 updates tracked since 2019).

About Pinelake Physician Practice Llc NPPES

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

PINELAKE PHYSICIAN PRACTICE LLC (NPI 1437614633), doing business as Jackson Purchase Primary Care - Clinton Clinic, is a healthcare organization registered as a rural health in Clinton, Kentucky and active in the NPI registry since February 2019. The organization holds a CLIA Microscopy certificate valid through June 14, 2027 and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1437614633
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePINELAKE PHYSICIAN PRACTICE LLC
Location Address106 W CLAY STClinton, KY 42031-1317
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7192
Phone(270) 653-0220
Fax(270) 653-0221
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7688
Enumeration DateFebruary 1, 2019
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1437614633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
106 W CLAY ST, Clinton, KY 42031
Open in Google Maps ↗

Other Names 1

Doing Business AsJackson Purchase Primary Care - Clinton Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D1028465

Jackson Purchase Primary Care Clinton Clinic · Clinton, KY
Active · expires Jun 14, 2027
CLIA Number18D1028465
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorMs. Amy M. Turner
Laboratory Phone(270) 251-4117
Laboratory LocationJackson Purchase Primary Care Clinton Clinic106 W Clay Street, Clinton, KY 42031
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

HOSPITAL OF FULTON INC
Clinic/Center (Rural Health)
106 W CLAY ST
CLINTON, KY 42031
Hickman County (270) 653-6277

Frequently Asked Questions

What is PINELAKE PHYSICIAN PRACTICE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1437614633, enumerated as an "organization" on February 01, 2019.

Where is the provider located?

The provider is located at 106 W CLAY ST CLINTON, KY 42031 and the phone number is (270) 653-0220.

What is the provider's specialty?

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