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

Jackson Hospital and Clinic, Inc

Organization Family Medicine Physician · NPI 1215519418

Jackson Hospital and Clinic, Inc is a Family Medicine Physician in Deatsville, Alabama. Registered with an NPI since 2021.

In the registry since
2021
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

2175 US Highway 31 N
Deatsville, AL 36022-2714
Phone: (334) 568-2120
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1215519418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Executive Director · (334) 240-2335
Other names Jackson Family Medicine Pine Level
NPI enumeratedApril 27, 2021
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1722 Pine St Ste 804, Montgomery, AL 36106-1108

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