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

Jackson Hospital and Clinic Inc

Organization Cardiovascular Disease Physician · NPI 1164878856

Jackson Hospital and Clinic Inc is a Cardiovascular Disease Physician in Prattville, Alabama. Registered with an NPI since 2016.

In the registry since
2016
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

461 E Main St
Prattville, AL 36067-3409
Phone: (334) 264-9191
Fax: (334) 264-9199
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1164878856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Administrator · (334) 240-2335
Other names Jackson Clinic Cardiology
NPI enumeratedMay 11, 2016
Last updated in NPPESMay 11, 2016
Mailing address1722 Pine St, Suite 503, Montgomery, AL 36106-1103

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