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

Jackson Hospital and Clinic, Inc

Organization Family Medicine Physician · NPI 1497362172

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

In the registry since
2020
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

4035 Atlanta Hwy
Montgomery, AL 36109-2920
Phone: (334) 603-8708
Fax: (334) 603-8709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1497362172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Herring — Revenue Cycle Director · (334) 240-2337
Other names Jackson Family Medicine Dalraida
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020
Mailing address1722 Pine St Ste 203, Montgomery, AL 36106-1158

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