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

Jackson Hospital and Clinic, Inc

Organization Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · NPI 1205494416

Jackson Hospital and Clinic, Inc is an Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in Montgomery, Alabama. Works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
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 503
Montgomery, AL 36106-1160
Phone: (334) 293-8736
Fax: (334) 293-8738
Show map & directions

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

Additional practice locations (2)

  • 2030 Lay Dam Rd, Clanton, AL 35045-8344 — (334) 293-8736
  • 7150 Halcyon Park Dr, Montgomery, AL 36117-7713 — (334) 293-8736

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (primary) Taxonomy 2088F0040X

Record details

NPI number1205494416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Executive Director · (334) 240-2335
Other names Jackson Clinic Urogynecology; Jackson Clinic Urogynecology - Clanton
NPI enumeratedJune 3, 2019
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1722 Pine St Ste 804, Montgomery, AL 36106-1108