JACKSON PURCHASE FAMILY AND SPORTS MEDICINE
NPI 1912216532
Family Medicine in Mayfield, KY

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

The NPI number for Pinelake Physician Practice LLC is 1912216532. It was assigned to this organization in the NPPES registry on September 30, 2010. The provider is doing business as Jackson Purchase Family And Sports Medicine.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 30, 2010

1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066(270) 251-4085(270) 251-4086 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackson Purchase Family And Sports Medicine NPPES

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

JACKSON PURCHASE FAMILY AND SPORTS MEDICINE (NPI 1912216532) is a healthcare organization registered as a family medicine in Mayfield, Kentucky and active in the NPI registry since September 2010. The organization lists Denis Miller, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1912216532

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePINELAKE PHYSICIAN PRACTICE LLC

Location Address1111 MEDICAL CENTER CIRMayfield, KY 42066-1194

Mailing Address1029 Medical Center CirMayfield, KY 42066-1189 · (270) 251-4547 · Fax (270) 251-4546

Phone(270) 251-4085

Fax(270) 251-4086

Organization SubpartNo

Authorized OfficialDenis MillerRegional Director · (615) 934-1454

Enumeration DateSeptember 30, 2010

✔ NPI 1912216532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

1111 MEDICAL CENTER CIR, Mayfield, KY 42066

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Other Names 1

Doing Business AsJackson Purchase Family And Sports Medicine

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.

MRS. CHRISTY MARIE BAKER PHARM.D., MBA

Pharmacist