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

Jackson Hospital and Clinic Inc

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1407387848

Jackson Hospital and Clinic Inc is a Thoracic Surgery (Cardiothoracic Vascular Surgery) 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 202
Montgomery, AL 36106-1127
Phone: (334) 264-7156
Fax: (334) 264-7681
Show map & directions

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

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1407387848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Executive Director · (334) 240-2335
Other names Jackson Clinic Cardiothoracic 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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