NPIMap

Organization Active NPI

Pinelake Regional Hospital LLC

Doing business as Jackson Purchase Medical Center

  • Rural Acute Care Hospital
  • Mayfield, KY
National Provider Identifier
1891892741
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
100143 Issued in KY
Legal business name
PINELAKE REGIONAL HOSPITAL LLC
Doing business as
Jackson Purchase Medical Center
Practice address
1099 Medical Center Cir
Mayfield, KY 42066-1159
Phone
(270) 251-4100
Fax
(270) 251-4507
NPI assigned
Sep 20, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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) 920-7688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 100143 KY
Rural Acute Care Hospital 282NR1301X 100143 KY Primary

Addresses

Primary practice location

1099 Medical Center Cir
Mayfield, KY 42066-1159

Mailing address

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

Other identifiers 5

IdentifierTypeStateIssuer
030016699OtherKYUSEC DEPT. OF LABOR
000000055031OtherKYBCBS
01000116MedicaidKY
000000061925OtherKYBCBS REFERENCE LAB
360503OtherKYBLACK LUNG

Other names 1

  • Jackson Purchase Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpmc@direct.jacksonpurchase.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000019 KY Part A Provider - Hospital 9638190515 Practice locations: Mayfield, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891892741. Details of each certification follow.

Hospital certification: CCN 180116

Legal name
PINELAKE REGIONAL HOSPITAL LLC
Doing business as
JACKSON PURCHASE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 1, 1969
Last certification
Dec 6, 2001
Beds
93
Ownership / control type
Hospital district or authority
Organization structure
LLCProprietary
Incorporated
Oct 19, 1998 in DE
Enrollment address
1099 Medical Center Cir
Mayfield, KY 42066-1159
Main/Primary Hospital Location
Hospital subgroups
General, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Jackson Purchase Medical CenterCCN 180116 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Pinelake Regional Hospital 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 15

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 For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2003 100%
Lifepoint Corporate Services General Partnership Organization, Brentwood, TN Operational/Managerial Control Apr 15, 2005
Lifepoint of Kentucky LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Jun 26, 2002 100%
William Haugh Individual Corporate OfficerPresident Sep 19, 2022
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
David D Anderson Individual Contracted Managing EmployeeCeo Nov 1, 2012
Operational/Managerial ControlCeo Nov 1, 2012
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Jun 26, 2002 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Jun 26, 2002 100%
Daniel Davis Individual Corporate OfficerChief Financial Officer Sep 19, 2022
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Apr 1, 2010
Charlotte E Lawrence Individual Corporate OfficerSecretary Jan 25, 2022
Elliott Brown Individual Corporate OfficerSVP and Treasurer Apr 2, 2026
Christopher J Monte Individual Corporate OfficerVice President Jun 26, 2006
Legacy Lifepoint Health LLC Organization, Brentwood, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 15, 2005 100%

Facilities with the same owner 195

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

  • Bourbon Community Hospital LLC

    dba Bourbon Community Hospital

    • Rural Acute Care Hospital
    • Paris, KY
    • NPI 1427132158

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC, Lifepoint of Kentucky LLC

    CMS ownership
  • Bourbon Community Hospital LLC

    dba Bourbon Community Hospital

    • Psychiatric Hospital Unit
    • Paris, KY
    • NPI 1902089865

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC, Lifepoint of Kentucky LLC

    CMS ownership
  • Bourbon Physician Practice 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, Lifepoint of Kentucky LLC

    CMS ownership
  • Clark Regional Physician Practices 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

    CMS ownership
  • Clark Regional Physician Practices LLC

    dba Centerpoint Family Medicine - Winchester Boonesboro Road

    • Rural Health Clinic/Center
    • Winchester, KY
    • NPI 1831852771

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Clark Regional Physician Practices 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

    CMS ownership
  • Fleming Medical Center LLC

    dba Fleming County Hospital

    • Critical Access Hospital
    • Flemingsburg, KY
    • NPI 1881726347

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC, Lifepoint of Kentucky LLC

    CMS ownership
  • Georgetown Community Hospital LLC

    dba Gerogetown Community Hospital

    • Rural Acute Care Hospital
    • Georgetown, KY
    • NPI 1326107319

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC, Lifepoint of Kentucky LLC

    CMS ownership
  • Kentucky Hospital, LLC

    dba Clark Regional Medical Center

    • General Acute Care Hospital
    • Winchester, KY
    • NPI 1811213994

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Kentucky in-Home Partner-I, 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

    CMS ownership
  • Kentucky Mso 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, Lifepoint of Kentucky LLC

    CMS ownership
  • Lake Cumberland Regional Hospital LLC

    dba Lake Cumberland Medical Associates

    • Rural Health Clinic/Center
    • Somerset, KY
    • NPI 1023155462

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Corporate Services General Partnership, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
View all 195

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

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 15

Affiliated clinicians 174

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 174

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1891892741",
    "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",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER CIR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661159",
            "telephone_number": "270-251-4100",
            "fax_number": "270-251-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELAKE REGIONAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7688"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "100143",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "KY",
            "license": "100143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USEC DEPT. OF LABOR",
            "identifier": "030016699",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000055031",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01000116",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS REFERENCE LAB",
            "identifier": "000000061925",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "360503",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpmc@direct.jacksonpurchase.net",
            "affiliation": "N",
            "address_1": "1099 Medical Center Cir",
            "city": "Mayfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420661159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jackson Purchase Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson Purchase Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayfield, KY

Sources for this page

Verify at the official NPI Registry.