PINELAKE PHYSICIAN PRACTICE, LLC
PINELAKE PHYSICIAN PRACTICE, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1861563439, based in Mayfield, KY. The organization lists 15 taxonomy classifications, with Internal Medicine Physician recorded as primary.
Getting there
The practice address on file is 1029 MEDICAL CENTER CIR, Mayfield, KY 42066. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Dme Supplier - Physician - Podiatry
- PAC ID
- 6800797507
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Physician - Podiatry. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Internal Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207R00000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | — | — | primary |
| 363L00000X | Nurse Practitioner | — | — | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | |
| 207X00000X | Orthopaedic Surgery Physician | — | — | |
| 207Q00000X | Family Medicine Physician | — | — | |
| 207YS0123X | Facial Plastic Surgery Physician Facial Plastic Surgery | — | — | |
| 213ES0103X | Foot & Ankle Surgery Podiatrist Foot & Ankle Surgery | — | — | |
| 208600000X | Surgery Physician | — | — | |
| 2086S0129X | Vascular Surgery Physician Vascular Surgery | — | — | |
| 2084N0400X | Neurology Physician Neurology | — | — | |
| 363A00000X | Physician Assistant | — | — | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | — | — | |
| 163WL0100X | Lactation Consultant (Registered Nurse) Lactation Consultant | — | — | |
| 367500000X | Certified Registered Nurse Anesthetist | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1861563439 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 13, 2006 |
| Last updated | Jan 7, 2026 |
| Status | Active |
| Practice address |
1029 MEDICAL CENTER CIR Mayfield, KY 42066 (270) 251-4590 Fax (270) 251-4591 |
| Mailing address |
330 SEVEN SPRINGS WAY ATTEN PROVIDER ENROLLMENT Brentwood, TN 37027 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 6 | 1 | 5 | 6 | 3 | 4 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 3 | 1 | 1 | 6 | 6 | 4 | 6 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.