Search icon

LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC

Company claim

Is this your business?

Get access!

Company Details

Name: LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Legal type: Foreign Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Jan 2007 (18 years ago)
Authority Date: 12 Jan 2007 (18 years ago)
Last Annual Report: 28 Jun 2024 (a year ago)
Organization Number: 0654941
Industry: Health Services
Number of Employees: Large (100+)
Principal Office: 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027
Place of Formation: DELAWARE

Organizer

Name Role
MARY KIM E. SHIPP Organizer

Manager

Name Role
Monica Bowman Manager
Christopher J. Monte Manager
J. Michael Grooms Manager
Pamela Kane Manager
Charlotte Lawrence Manager
David Reynolds Manager

Registered Agent

Name Role
C T CORPORATION SYSTEM Registered Agent

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
ZTWHUJ9PMTL5
UEI Expiration Date:
2025-12-24

Business Information

Division Name:
LAKE CUMBERLAND PHYSICIAN PRACTICES, LLC
Activation Date:
2024-12-26
Initial Registration Date:
2024-12-24

National Provider Identifier

NPI Number:
1174091383

Authorized Person:

Name:
SHARLEE LEBLEU
Role:
SR. DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
6159208775
Fax:
6166776983

Assumed Names

Name Status Expiration Date
LAKE CUMBERLAND MEDICAL GROUP Active 2029-12-22
ORTHOPAEDICS AND SPORTS MEDICINE OF LAKE CUMBERLAND Active 2029-08-09
LAKE CUMBERLAND HEARTBURN CENTER Active 2029-05-13
LAKE CUMBERLAND NEUROLOGY ASSOCIATES Active 2029-01-30
LAKE CUMBERLAND LUNG SPECIALISTS Active 2029-01-25

Filings

Name File Date
Name Renewal 2025-02-04
Name Renewal 2024-12-04
Name Renewal 2024-07-15
Certificate of Withdrawal of Assumed Name 2024-06-28
Annual Report 2024-06-28

Reviews Leave a review

This company hasn't received any reviews.

Sources: Kentucky Secretary of State