Pinelake Physician Practice LLC
NPI 1922645134 · Rural Health Clinic/Center · Mayfield, KY
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pinelake Physician Practice LLC is a Rural Health Clinic/Center organization in Mayfield, KY (NPI 1922645134).
Provider details
- NPI number
- 1922645134
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathy Teague, Secretary(615) 920-7000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Other names (DBA / former)
- Doing business as
- Jackson Purchase Primary Care Hussain Clinic
Registry dates
- Enumerated
- 2019-12-06
- Last updated
- 2019-12-06
Frequently asked questions
- What is Pinelake Physician Practice LLC's NPI number?
- Pinelake Physician Practice LLC's National Provider Identifier (NPI) is 1922645134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pinelake Physician Practice LLC?
- Pinelake Physician Practice LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pinelake Physician Practice LLC located?
- Pinelake Physician Practice LLC's practice location on file with NPPES is 417 S 6th St, Mayfield, KY 42066-2311.
- What is Pinelake Physician Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Pinelake Physician Practice LLC is (270) 247-1104.
- Does Pinelake Physician Practice LLC accept Medicare?
- Pinelake Physician Practice LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pinelake Physician Practice LLC?
- The authorized official listed on Pinelake Physician Practice LLC's NPPES record is Kathy Teague, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pinelake Physician Practice LLC's NPI active?
- Yes — Pinelake Physician Practice LLC's NPI (1922645134) is active in the NPPES registry as of the last update on 2019-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.