Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Hospital and Clinic Inc

Organization Urology Physician · NPI 1164803367

Jackson Hospital and Clinic Inc is an Urology Physician in Montgomery, Alabama. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

226 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone: (334) 281-7666
Fax: (334) 293-6859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1164803367
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJackson Hospital and Clinic Inc
Authorized official Kelin Penney — Administrator · (334) 240-2337
Other names Jackson Urology; Jackson Urology East; Jackson Urology East
NPI enumeratedJune 12, 2015
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1722 Pine St Ste 804, Montgomery, AL 36106-1108

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