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

Jackson Hospital and Clinic Inc

Organization Cardiovascular Disease Physician · NPI 1891156469

Jackson Hospital and Clinic Inc is a Cardiovascular Disease Physician in Tallassee, Alabama. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

115 Herren Hill Rd
Tallassee, AL 36078-1276
Phone: (334) 264-9191
Fax: (334) 264-9199
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1891156469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Administrator · (334) 240-2335
Other names Jackson Clinic Cardiology
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1722 Pine St Ste 804, Montgomery, AL 36106-1108