Active NPI
Clark Regional Physician Practices LLC
Doing business as Centerpoint Family Medicine - Winchester Boonesboro Road
- Rural Health Clinic/Center
- Winchester, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Clark Clinic Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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).
-
dba Centerpoint Family Medicine - Mt. Sterling
- Rural Health Clinic/Center
- Mt Sterling, KY
- NPI 1780356253
9739337569
-
dba Centerpoint Primary Care - Winchester
- Rural Health Clinic/Center
- Winchester, KY
- NPI 1841953783
9739337569
-
dba Centerpoint Podiatry - Winchester
- Durable Medical Equipment & Medical Supplies
- Winchester, KY
- NPI 1114282605
9739337569
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Winchester General Surgery
- Surgery Physician
- Winchester, KY
- NPI 1073864559
O20120919000575
-
dba Clark Regional Family Practice
- Family Medicine Physician
- Winchester, KY
- NPI 1114360583
O20120919000575
-
dba Clark Digestive Care Center
- Gastroenterology Physician
- Winchester, KY
- NPI 1144663220
O20120919000575
-
dba Clark Cardiology
- Cardiovascular Disease Physician
- Winchester, KY
- NPI 1508204223
O20120919000575
-
dba Centerpoint Family Medicine - Mt. Sterling
- Rural Health Clinic/Center
- Mt Sterling, KY
- NPI 1780356253
O20120919000575
-
dba Centerpoint Primary Care - Winchester
- Rural Health Clinic/Center
- Winchester, KY
- NPI 1841953783
O20120919000575
-
dba Centerpoint Podiatry - Winchester
- Durable Medical Equipment & Medical Supplies
- Winchester, KY
- NPI 1114282605
O20120919000575, O20151113001121
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0975398 | Clark Clinic Family Medicine | Certificate of waiver | Jul 6, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Clark Regional Physician Practices LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Clark Digestive Care Center
- Gastroenterology Physician
- Winchester, KY
- NPI 1144663220
-
dba Centerpoint Medical Group Winchester
- Rural Health Clinic/Center
- Winchester, KY
- NPI 1326983693
-
dba Clark Digestive Care Center
- Nurse Practitioner
- Winchester, KY
- NPI 1629489075
-
dba Centerpoint Primary Care - Winchester
- Rural Health Clinic/Center
- Winchester, KY
- NPI 1841953783
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lifepoint Holdings 2 LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2015 | 100% |
| Pamela Kane | Corporate Officer | Aug 9, 2022 | |
| DSB Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Nov 16, 2018 | 100% |
| Laura C Hinson | Corporate Officer | Mar 12, 2025 | |
| Lifepoint Hospitals Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2015 | 100% |
| Historic Lifepoint Hospitals, LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2015 | 100% |
| Lifepoint Health Inc | 5% Or Greater Indirect Ownership Interest | Nov 16, 2018 | 100% |
| Charlotte E Lawrence | Corporate Officer | Jan 21, 2022 | |
| Elliott Brown | Corporate Officer | Apr 2, 2026 | |
| Klaus Michael Boel | Corporate Officer | Aug 19, 2024 | |
| W-2 Managing Employee | Aug 19, 2024 | ||
| Christopher J Monte | Corporate Officer | Jan 1, 2015 | |
| Legacy Lifepoint Health LLC | 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.
-
dba Bourbon Community Hospital
- Rural Acute Care Hospital
- Paris, KY
- NPI 1427132158
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Bourbon Community Hospital
- Psychiatric Hospital Unit
- Paris, KY
- NPI 1902089865
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Bluegrass Family Clinic
- Rural Health Clinic/Center
- Paris, KY
- NPI 1962111716
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Centerpoint Family Medicine - Mt. Sterling
- Rural Health Clinic/Center
- Mt Sterling, KY
- NPI 1780356253
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Centerpoint Primary Care - Winchester
- Rural Health Clinic/Center
- Winchester, KY
- NPI 1841953783
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Fleming County Hospital
- Critical Access Hospital
- Flemingsburg, KY
- NPI 1881726347
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Gerogetown Community Hospital
- Rural Acute Care Hospital
- Georgetown, KY
- NPI 1326107319
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Clark Regional Medical Center
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Lifeline of Jackson Purchase Home Health
- Home Health Agency
- Mayfield, KY
- NPI 1508394594
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Hospitals Holdings LLC
-
dba Centerpoint Family Medicine - Lawrenceburg
- Rural Health Clinic/Center
- Lawrenceburg, KY
- NPI 1922860758
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Lake Cumberland Medical Associates
- Rural Health Clinic/Center
- Somerset, KY
- NPI 1023155462
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Lake Cumberland Regional Hospital - rehabilitation unit
- Rehabilitation Hospital Unit
- Somerset, KY
- NPI 1346301975
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
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.
-
- Family Nurse Practitioner
- Georgetown, KY
- NPI 1215651815
-
- Physician Assistant
- Lexington, KY
- NPI 1639315849
-
- Pulmonary Disease Physician
- Winchester, KY
- NPI 1144604505
-
- Family Nurse Practitioner
- Lexington, KY
- NPI 1821571092
-
- Medical Physician Assistant
- Winchester, KY
- NPI 1780644906
-
- Internal Medicine Physician
- Winchester, KY
- NPI 1538233184
-
- Psychiatric/Mental Health Nurse Practitioner
- Smyrna, GA
- NPI 1740960053
-
- Pediatrics Physician
- Winchester, KY
- NPI 1063688000
-
- Family Nurse Practitioner
- Mt Sterling, KY
- NPI 1881956027
-
- Family Medicine Physician
- Lexington, KY
- NPI 1053499673
-
- Family Nurse Practitioner
- Flemingsburg, KY
- NPI 1720337967
-
- Internal Medicine Physician
- Winchester, KY
- NPI 1497795116
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
- Clark Regional Physician Practices LLC (Clark Regional Family Practice)
- Clark Regional Physician Practices LLC (Clark Digestive Care Center)
- Clark Regional Physician Practices LLC (Centerpoint Medical Group Winchester)
- Clark Regional Physician Practices LLC (Clark Cardiology)
- Clark Regional Physician Practices LLC (Clark Digestive Care Center)
- Clark Regional Physician Practices LLC (Centerpoint Primary Care - Winchester)
- Clark Regional Physician Practices, LLC (Centerpoint Podiatry - Winchester)
- Casey Lane Clark
- Magdalene Cooper Cloyd
- April Coldiron
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.