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

Jackson Hospital and Clinic Inc

Organization Surgery Physician · NPI 1194256438

Jackson Hospital and Clinic Inc is a Surgery Physician in Montgomery, Alabama. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
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

1722 Pine St Ste 201
Montgomery, AL 36106-1158
Phone: (334) 264-8741
Fax: (334) 264-2216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 554 McQueen Smith Rd N, Prattville, AL 36066-5558 — (334) 264-8741

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1194256438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Executive Director · (334) 240-2335
Other names Jackson General Surgery
NPI enumeratedMarch 27, 2017
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1722 Pine St Ste 804, Montgomery, AL 36106-1108

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