Pinelake Physician Practice LLC in Hickman, KY
This location of Pinelake Physician Practice bills under NPI 1205494085, an organization record issued on Jun 5, 2019 with the primary taxonomy Rural Health Clinic/Center. It is one of 15 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
- Legal name
- Pinelake Physician Practice LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Rural Health Clinic/Center 261QR1300X
- Practice location
- 2003 S 7TH ST, Hickman, KY 42050
- Phone
- 270-236-3337
- Mailing address
- Brentwood, TN
- Enumerated
- Jun 5, 2019
- Record updated
- Jul 16, 2026
- Authorized official
- Secretary (title as filed)
1 clinician CMS lists with Pinelake Physician Practice in Hickman
- Brandi Stacy, APRNNurse Practitioner1760722144
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Every location registered under this name, in 4 cities.
See every locationChecking an organization
- Confirm the business with the Kentucky secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Why is the mailing address in Tennessee?
The mailing address in the record (Brentwood, TN) is where the organization receives mail. Care is given at the practice location in Hickman.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.