Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Pinelake Physician Practice LLC's NPI number?

The NPI number for Pinelake Physician Practice LLC is 1437614633. It was assigned to this organization in the NPPES registry on February 1, 2019. The provider is doing business as Jackson Purchase Primary Care - Clinton Clinic.

Q: What is Pinelake Physician Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since February 01, 2019

106 W CLAY ST, CLINTON, KY 42031(270) 653-0220(270) 653-0221 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 18, 2026, Jul 16, 2026, Jun 11, 2019 and 2 more (5 updates tracked since 2019).

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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 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 UpdateSeptember 18, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1437614633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

106 W CLAY ST, Clinton, KY 42031

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Other Names 1

Doing Business AsJackson Purchase Primary Care - Clinton Clinic

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinelake Physician Practice LLC's NPI number?

The NPI number for Pinelake Physician Practice LLC is 1437614633. It was assigned to this organization in the NPPES registry on February 1, 2019. The provider is doing business as Jackson Purchase Primary Care - Clinton Clinic.

Where is Pinelake Physician Practice LLC located?

Pinelake Physician Practice LLC is located at 106 W Clay St, Clinton, KY 42031. The listed phone number is (270) 653-0220.

What is Pinelake Physician Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Pinelake Physician Practice LLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.