JACKSON PURCHASE PRIMARY CARE WILLIAMS CLINIC
NPI 1679061071
Clinic/Center - Rural Health in Mayfield, KY

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

The NPI number for Pinelake Physician Practice LLC is 1679061071. It was assigned to this organization in the NPPES registry on May 1, 2018. The provider is doing business as Jackson Purchase Primary Care Williams 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 May 01, 2018

110 S 9TH ST, MAYFIELD, KY 42066(270) 247-7795(270) 247-2602 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackson Purchase Primary Care Williams Clinic NPPES

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

JACKSON PURCHASE PRIMARY CARE WILLIAMS CLINIC (NPI 1679061071) is a healthcare organization registered as a rural health in Mayfield, Kentucky and active in the NPI registry since May 2018. The organization lists Sara Miller, Director, as its authorized official.

NPPES Registry Identity

NPI1679061071

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NamePINELAKE PHYSICIAN PRACTICE LLC

Location Address110 S 9TH STMayfield, KY 42066-2208

Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7905 · Fax (615) 920-8935

Phone(270) 247-7795

Fax(270) 247-2602

Organization SubpartNo

Authorized OfficialSara MillerDirector · (615) 202-9581

Enumeration DateMay 1, 2018

✔ NPI 1679061071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

110 S 9TH ST, Mayfield, KY 42066

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Other Names 1

Doing Business AsJackson Purchase Primary Care Williams Clinic

Other Providers at the Same Location NPPES 2

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

MRS. LELA KRISTINE COLE ARNP

Nurse Practitioner (Family)

110 S 9TH ST
MAYFIELD, KY 42066

Graves County (270) 247-7795

WILLIAMS NURSE PRACTITIONER GROUP

Nurse Practitioner (Family)

110 S 9TH ST
MAYFIELD, KY 42066

Graves County (270) 247-7795

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 1679061071. It was assigned to this organization in the NPPES registry on May 1, 2018. The provider is doing business as Jackson Purchase Primary Care Williams Clinic.

Where is Pinelake Physician Practice LLC located?

Pinelake Physician Practice LLC is located at 110 S 9th St, Mayfield, KY 42066. The listed phone number is (270) 247-7795.

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 May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.