PINELAKE PHYSICIAN PRACTICE, LLC
NPI 1861563439
Internal Medicine in Mayfield, KY

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

The NPI number for Pinelake Physician Practice, LLC is 1861563439. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Jackson Purchase Podiatry.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 13, 2006

1029 MEDICAL CENTER CIR, MAYFIELD, KY 42066(270) 251-4590(270) 251-4591 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2026, Jul 13, 2023, May 8, 2023 and 7 more (10 updates tracked since 2016).

On this page

About Pinelake Physician Practice, Llc NPPES

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

PINELAKE PHYSICIAN PRACTICE, LLC (NPI 1861563439), doing business as Jackson Purchase Podiatry, is a healthcare organization registered as an internal medicine in Mayfield, Kentucky and active in the NPI registry since November 2006. The organization maintains 2 additional practice locations and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1861563439

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePINELAKE PHYSICIAN PRACTICE, LLC

Location Address1029 MEDICAL CENTER CIRMayfield, KY 42066-1189

Mailing Address330 Seven Springs Way, Atten Provider EnrollmentBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775

Phone(270) 251-4590

Fax(270) 251-4591

Organization SubpartNo

Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000

Enumeration DateNovember 13, 2006

Last NPPES UpdateJanuary 7, 202610 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1861563439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

1029 MEDICAL CENTER CIR, Mayfield, KY 42066

Open in Google Maps ↗

Other Names 1

Doing Business AsJackson Purchase Podiatry

Secondary Practice Locations 2

Location 12003 S 7th StHickman, KY 42050-1841

Location 2101 Main StFulton, KY 42041-1601 · Phone (270) 472-5245 · Fax (270) 472-5249

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

Other Providers at the Same Location NPPES 20

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

DR. JESSICA M LITTLE DPM

Podiatrist (Foot & Ankle Surgery)

1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066

Graves County (270) 251-4590

DR. ELIAS PITARAS M.D.

Internal Medicine (Nephrology)

1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066

Graves County (270) 251-4141

SARAH WILSON APRN

Nurse Practitioner (Family)

1029 MEDICAL CENTER CIR, SUITE 306
MAYFIELD, KY 42066

Graves County (270) 251-4575

ADVANCED FOOT AND ANKLE CLINIC PLLC

Podiatrist (Foot & Ankle Surgery)

1029 MEDICAL CENTER CIR, SUITE 308
MAYFIELD, KY 42066

Graves County (270) 251-4060

MAGNOLIA FAMILY PRACTICE PSC

Family Medicine

1029 MEDICAL CENTER CIR, SUITE 200
MAYFIELD, KY 42066

Graves County (270) 251-4545

MS. REBECCA FLETCHER CRNA

Nurse Anesthetist, Certified Registered

1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066

Graves County (270) 251-4100

PINELAKE PHYSICIAN PRACTICES LLC

Internal Medicine (Nephrology)

1029 MEDICAL CENTER CIR, SUITE 200 A
MAYFIELD, KY 42066

Graves County (270) 251-4545

WESTERN KENTUCKY UROLOGICAL ASSOCIATES PSC

Urology

1029 MEDICAL CENTER CIR, SUITE 200
MAYFIELD, KY 42066

Graves County (270) 251-4545

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 1861563439. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Jackson Purchase Podiatry.

Where is Pinelake Physician Practice, LLC located?

Pinelake Physician Practice, LLC is located at 1029 Medical Center Cir, Mayfield, KY 42066. The listed phone number is (270) 251-4590.

What is Pinelake Physician Practice, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Pinelake Physician Practice, LLC was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.