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

Jackson Hospital and Clinic, Inc

Organization Urology Physician · NPI 1760770754

Jackson Hospital and Clinic, Inc is an Urology Physician in Montgomery, Alabama. Licensed in Alabama. Registered with an NPI since 2011.

Licensed in
AL
In the registry since
2011
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 502
Montgomery, AL 36106-1103
Phone: (334) 293-8588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD.31014 (AL)

Record details

NPI number1760770754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Executive Director · (334) 240-2335
Other names Jackson Clinic Urology
NPI enumeratedJuly 12, 2011
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1722 Pine St Ste 804, Montgomery, AL 36106-1108

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