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 1194261669

Jackson Hospital and Clinic Inc is a Cardiovascular Disease Physician in Montgomery, Alabama. 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

1758 Park Pl Ste 402
Montgomery, AL 36106-1127
Phone: (334) 293-6842
Fax: (334) 293-6843
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 number1194261669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Executive Director · (334) 240-2335
Other names Jackson Clinic Cardiology Suite 402
NPI enumeratedJanuary 9, 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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