Pinelake Physician Practice, LLC
NPI 1861563439ActiveOrganization· Internal Medicine· Mayfield, KY
Internal Medicine in Mayfield, Kentucky, registered in NPPES in November 2006. The authorized official on file is Charlotte Lawrence, Secretary. Enrolled in Medicare as dme supplier - physician - podiatry.
Overview
| NPI | 1861563439 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2006 |
| Last updated in NPPES | Jan 7, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (KY) |
|---|
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