NPIMap

Organization Active NPI

Clark Regional Physician Practices, LLC

Doing business as Centerpoint Podiatry - Winchester

  • Durable Medical Equipment & Medical Supplies
  • Winchester, KY
National Provider Identifier
1114282605
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLARK REGIONAL PHYSICIAN PRACTICES, LLC
Doing business as
Centerpoint Podiatry - Winchester
Practice address
225 Hospital Dr Ste 120
Winchester, KY 40391-7624
Phone
(859) 737-8528
Fax
(859) 737-8529
NPI assigned
Jul 10, 2012
Last updated
May 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU
Gastroenterology Physician 207RG0100X NU
Interventional Cardiology Physician 207RI0011X NU
Pediatrics Physician 208000000X NU
Neurology Physician 2084N0400X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU
Podiatrist 213E00000X NU
Audiologist 231H00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

225 Hospital Dr Ste 120
Winchester, KY 40391-7624

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

  • Centerpoint Podiatry - Winchester Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20120919000575 KY Part B Supplier - Clinic/Group Practice 9739337569 Receives reassigned benefits from 102 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, KY; Georgetown, KY; Lexington, KY; Mt Sterling, KY; Paris, KY; Stanton, KY
O20140512001104 KY Part A Provider - Rural Health Clinic 9739337569 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mt Sterling, KY
O20140626000212 KY Part A Provider - Rural Health Clinic 9739337569 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, KY
O20151113001121 KY Part A Provider - Rural Health Clinic 9739337569 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, KY
O20160706001939 KY DME Supplier - Physician - Podiatry 9739337569 Practice locations: Winchester, KY

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1114282605. Details of each certification follow.

Rural health clinic certification: CCN 183902

Legal name
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Doing business as
CENTERPOINT FAMILY MEDICINE - MT. STERLING
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 17, 2003
Last certification
Aug 23, 2017
Ownership / control type
1B
Most recent change of ownership
Mar 3, 2014 (1 total)
Organization structure
LLCProprietary
Incorporated
Jun 12, 2012 in DE
Enrollment address
129 Stone Trace Dr
Mt Sterling, KY 40353-9386

Rural health clinic certification: CCN 183919

Legal name
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Doing business as
CENTERPOINT PRIMARY CARE - WINCHESTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 22, 2003
Last certification
Sep 19, 2019
Ownership / control type
1B
Most recent change of ownership
Apr 14, 2014 (1 total)
Organization structure
LLCProprietary
Incorporated
Jun 12, 2012 in DE
Enrollment address
225 Hospital Dr
Winchester, KY 40391-7604

Rural health clinic certification: CCN 183892

Legal name
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Doing business as
CENTERPOINT FAMILY MEDICINE - WINCHESTER BOONESBORO ROAD
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 10, 2002
Last certification
Feb 17, 2026
Ownership / control type
2C
Most recent change of ownership
Sep 15, 2015 (1 total)
Organization structure
LLCProprietary
Incorporated
Jun 12, 2012 in DE
Enrollment address
1520 Boonesboro Rd
Winchester, KY 40391-8816

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

22 Clinic Dr
Paris, KY 40361
Phone (859) 987-0074

8 Linville Dr
Paris, KY 40361
Phone (859) 321-8631

225 Hospital Dr
Ste 200C
Winchester, KY 40391
Phone (859) 737-6480

225 Hospital Dr
Ste 305
Winchester, KY 40391
Phone (859) 737-8482

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2014 100%
5% Or Greater Direct Ownership Interest Apr 14, 2014 100%
5% Or Greater Direct Ownership Interest Sep 1, 2015 100%
Pamela Kane Individual Corporate OfficerVice President Aug 9, 2022
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Laura C Hinson Individual Corporate OfficerChief Financial Officer Mar 12, 2025
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2014 100%
5% Or Greater Indirect Ownership Interest Apr 14, 2014 100%
5% Or Greater Indirect Ownership Interest Sep 1, 2015 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2014 100%
5% Or Greater Indirect Ownership Interest Apr 14, 2014 100%
5% Or Greater Indirect Ownership Interest Sep 1, 2015 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Charlotte E Lawrence Individual Contracted Managing Employee Aug 9, 2022
Corporate OfficerSecretary Jan 21, 2022
Elliott Brown Individual Corporate OfficerSenior Vice President and Treasurer Apr 2, 2026
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing Employee Aug 19, 2024
Christopher J Monte Individual Corporate OfficerVice President Mar 1, 2014
Corporate OfficerVice President Apr 14, 2014
Corporate OfficerVice President Jan 1, 2015
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779580800000",
    "number": "1114282605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR STE 120",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917624",
            "telephone_number": "859-737-8528",
            "fax_number": "859-737-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK REGIONAL PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerpoint Podiatry - Winchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.