OrganizationActive
Pinelake Physician Practice, LLC
NPI 1437623337 · Rural Health Clinic/Center · Fulton, KY
Provider details
- NPI number
- 1437623337
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sharlee Lebleu, Sr Director, Provider Enrollment(615) 920-7192
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Main St
Fulton, KY 42041-1601
Phone: (270) 472-5245
Fax: (270) 472-5249
Street-level locationGet directions
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Other names (DBA / former)
- Doing business as
- Jackson Purchase Primary Care - Fulton Clinic
Registry dates
- Enumerated
- 2019-01-14
- Last updated
- 2019-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.