NPIMap

Organization Active NPI

Kentucky Mso LLC

Doing business as Centerpoint Family Medicine - Lawrenceburg

  • Rural Health Clinic/Center
  • Lawrenceburg, KY
National Provider Identifier
1922860758
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
KENTUCKY MSO LLC
Doing business as
Centerpoint Family Medicine - Lawrenceburg
Practice address
1004 W Park Dr Ste B
Lawrenceburg, KY 40342
Phone
(502) 353-4580
Fax
(502) 353-4112
NPI assigned
Jan 26, 2024
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 NU Primary

Addresses

Primary practice location

1004 W Park Dr Ste B
Lawrenceburg, KY 40342

Mailing address

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

Other names 1

  • Centerpoint Family Medicine - Lawrenceburg Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110901000380 KY Part B Supplier - Clinic/Group Practice 0749450633 Receives reassigned benefits from 104 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Versailles, KY; Paris, KY; Mount Sterling, KY; West Liberty, KY; Winchester, KY; Georgetown, KY; Lawrencburg, KY; Lawrenceburg, KY…
O20240403001484 KY Part A Provider - Rural Health Clinic 0749450633 Practice locations: Lawrenceburg, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922860758. Details of each certification follow.

Rural health clinic certification: CCN B03960

Legal name
KENTUCKY MSO LLC
Doing business as
CENTERPOINT FAMILY MEDICINE - LAWRENCEBURG
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 2, 2024
Last certification
Aug 2, 2024
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
1004 W Park Dr
Ste B
Lawrenceburg, KY 40342-8074

Other NPIs with the same Medicare PAC ID 1

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

  • Kentucky Mso LLC

    dba Gastroenterology and Hepatology of the Bluegrass

    • Gastroenterology Physician
    • Georgetown, KY
    • NPI 1164867883

    0749450633

    Same PAC ID

Other NPIs on the same Medicare enrollment 11

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
18D2298116Centerpoint Family Medicine - Lawrenceburg1004 West Park Drive Suite B, Lawrenceburg, KY 40342Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Bluegrass Family Care Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1002 Lexington Rd
Ste 21
Georgetown, KY 40324
Phone (502) 570-0015

105 Prather Path
Ste 1100
Georgetown, KY 40324
Phone (502) 603-5220

105 Prather Path
Ste 2100
Georgetown, KY 40324
Phone (859) 340-1377

105 Prather Path
Ste 2400
Georgetown, KY 40324
Phone (502) 570-3767

1140 Lexington Rd
Ste 101
Georgetown, KY 40324
Phone (502) 863-5321

1140 Lexington Rd
Ste 201
Georgetown, KY 40324
Phone (502) 570-3767

1140 Lexington Rd
Ste 204
Georgetown, KY 40324
Phone (502) 868-5671

1200 Fairfax Way
Georgetown, KY 40324
Phone (502) 867-6701

501 S Hamilton St
Georgetown, KY 40324
Phone (502) 867-6701

1004 W Park Dr
#B
Lawrenceburg, KY 40342
Phone (502) 353-4580

989 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (502) 570-3727

113 Brandon Way
Mount Sterling, KY 40353
Phone (859) 498-1460

5 Linville Dr
Ste 101
Paris, KY 40361
Phone (859) 987-2069

8 Linville Dr
Ste E
Paris, KY 40361
Phone (859) 340-1377

Ownership & related parties

All disclosed owners & managing parties 13

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 Indirect Ownership Interest Jan 29, 2024 100%
Pamela Kane Individual Corporate OfficerVice President Jan 29, 2024
Lifepoint of Kentucky LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 29, 2024 100%
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2024 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 Jan 29, 2024 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2024 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2024 100%
Charlotte E Lawrence Individual Corporate OfficerSecretary Jan 29, 2024
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing Employee Aug 19, 2024
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Jan 29, 2024
Christopher J Monte Individual Corporate OfficerVice President Jan 29, 2024
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 29, 2024 100%

Facilities with the same owner 193

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 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 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 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 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 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
  • 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 Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Lake Cumberland Regional Hospital 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

    CMS ownership
View all 193

Practitioners & affiliated clinicians

Practitioners 107

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 107

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1922860758",
    "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": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W PARK DR STE B",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "40342",
            "telephone_number": "502-353-4580",
            "fax_number": "502-353-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY MSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerpoint Family Medicine - Lawrenceburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceburg, KY

Sources for this page

Verify at the official NPI Registry.