JACKSON PURCHASE FAMILY AND SPORTS MEDICINE – NPI #1912216532
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

JACKSON PURCHASE FAMILY AND SPORTS MEDICINE is a provider located in MAYFIELD, KY. NPPES has assigned the NPI number 1912216532 to JACKSON PURCHASE FAMILY AND SPORTS MEDICINE on September 30, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JACKSON PURCHASE FAMILY AND SPORTS MEDICINE” is a dba name, the actual legal business name for this organization is PINELAKE PHYSICIAN PRACTICE LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON PURCHASE FAMILY AND SPORTS MEDICINE below.

NPI Profile for
PINELAKE PHYSICIAN PRACTICE LLC

NPI Number
1912216532
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINELAKE PHYSICIAN PRACTICE LLC
Doing Business As (dba): JACKSON PURCHASE FAMILY AND SPORTS MEDICINE
Primary location
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066-1194
Phone: (270) 251-4085 Fax: (270) 251-4086
Mailing address
1029 MEDICAL CENTER CIR
MAYFIELD, KY 42066-1189
Phone: (270) 251-4547 Fax: (270) 251-4546
Organization Subpart
No
Authorized Official
DENIS MILLER
REGIONAL DIRECTOR
Phone: (615) 934-1454
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
207QS0010X
- Family Medicine / Sports Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.