Organization Active NPI

Clark Regional Physician Practices LLC

Doing business as Centerpoint Family Medicine - Winchester Boonesboro Road

  • Rural Health Clinic/Center
  • Winchester, KY
National Provider Identifier
1831852771
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CLARK REGIONAL PHYSICIAN PRACTICES LLC
Doing business as
Centerpoint Family Medicine - Winchester Boonesboro Road
Clark Clinic Family Medicine
Practice address
1520 Boonesboro Rd
Winchester, KY 40391-8816
Phone
(859) 744-0067
Fax
(859) 744-0042
NPI assigned
Oct 18, 2021
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1520 Boonesboro Rd
Winchester, KY 40391-8816

Mailing address

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

Other names 2

  • Centerpoint Family Medicine - Winchester Boonesboro Road Doing business as
  • Clark Clinic Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

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
O20151113001121 KY Part A Provider - Rural Health Clinic 9739337569 1 other NPI on this enrollment
Practice locations: Winchester, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831852771. Details of each certification follow.

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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D0975398Clark Clinic Family Medicine1520 Boonesboro Road, Winchester, KY 40391Certificate of waiverJul 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Clark Regional Physician Practices LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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, Holding company, For-profit 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, Holding company, For-profit 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 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 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 Jan 1, 2015
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1831852771",
    "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": "1520 BOONESBORO RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918816",
            "telephone_number": "859-744-0067",
            "fax_number": "859-744-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK REGIONAL PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerpoint Family Medicine - Winchester Boonesboro Road",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clark Clinic Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.