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 1477171072

Jackson Hospital and Clinic, Inc is a Family Medicine Physician in Prattville, Alabama. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

204 Medical Center Dr
Prattville, AL 36066-7288
Phone: (334) 361-3090
Fax: (334) 361-2090
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1477171072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Herring — Revenue Cycle Director · (334) 293-8736
Other names Jackson Clinic Prattville Primary Care
NPI enumeratedJuly 9, 2020
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address1722 Pine St Ste 203, Montgomery, AL 36106-1158

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