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 1437623337
Clinic/Center - Rural Health in Fulton, KY

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

The NPI number for Pinelake Physician Practice, LLC is 1437623337. It was assigned to this organization in the NPPES registry on January 14, 2019. The provider is doing business as Jackson Purchase Primary Care - Fulton 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 January 14, 2019

101 MAIN ST, FULTON, KY 42041(270) 472-5245(270) 472-5249 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Jun 11, 2019, Jan 14, 2019 (3 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 1437623337), doing business as Jackson Purchase Primary Care - Fulton Clinic, is a healthcare organization registered as a rural health in Fulton, Kentucky and active in the NPI registry since January 2019. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1437623337

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePINELAKE PHYSICIAN PRACTICE, LLC

Location Address101 MAIN STFulton, KY 42041-1601

Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000

Phone(270) 472-5245

Fax(270) 472-5249

Organization SubpartNo

Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7688

Enumeration DateJanuary 14, 2019

Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1437623337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

101 MAIN ST, Fulton, KY 42041

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Other Names 1

Doing Business AsJackson Purchase Primary Care - Fulton 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.

BRANDI N ROSE FNP-C

Nurse Practitioner (Family)

101 MAIN ST
FULTON, KY 42041

Fulton County (270) 472-5245

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 1437623337. It was assigned to this organization in the NPPES registry on January 14, 2019. The provider is doing business as Jackson Purchase Primary Care - Fulton Clinic.

Where is Pinelake Physician Practice, LLC located?

Pinelake Physician Practice, LLC is located at 101 Main St, Fulton, KY 42041. The listed phone number is (270) 472-5245.

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 July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.