JACKSON HOSPITAL AND CLINIC INC.
NPI 1023317666
Family Medicine in Montgomery, AL

NPI Status: Active since March 22, 2011

Contact Information

1801 PINE STREET
SUITE 103
MONTGOMERY, AL
ZIP 36106
Phone: (334) 293-8888
Fax: (334) 293-8154

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  • Organization
  • Family Medicine
  • CLIA Number: 01D2299143
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-13-2028

About JACKSON HOSPITAL AND CLINIC INC.

This page provides the complete NPI Profile along with additional information for Jackson Hospital And Clinic Inc., a primary care provider established in Montgomery, Alabama operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1023317666 assigned on March 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated March 2026. Jackson Hospital And Clinic Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Kelin Penney (Administrator)

NPI
1023317666
Provider Legal Name
JACKSON HOSPITAL AND CLINIC INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1801 PINE STREET SUITE 103 MONTGOMERY, AL 36106
Location Phone
(334) 293-8888
Location Fax
(334) 293-8154
Mailing Address
1722 PINE ST STE 804 MONTGOMERY, AL 36106
Mailing Phone
(334) 240-2337
Mailing Fax
(334) 293-8154
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2011
Last Update Date
03-09-2026
Code Navigator

A primary care provider (PCP) like Jackson Hospital And Clinic Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELIN PENNEY

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(334) 240-2335

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2299143
Facility Type
Physician Office
Certificate Effective Date
February 14, 2026
Certificate Expiration Date
February 13, 2028
Laboratory Director
DR. MEAGAN THOMAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jackson Hospital And Clinic Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023317666, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 6 + 1 + 1 + 4 + 6 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1023317666.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Surgery
1801 PINE STREET, SUITE 202
MONTGOMERY, AL 36106
Internal Medicine
1801 PINE STREET
MONTGOMERY, AL 36106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023317666, enumerated as an "organization" on March 22, 2011.

The provider is located at 1801 PINE STREET SUITE 103 MONTGOMERY, AL 36106 and the phone number is (334) 293-8888.

Family Medicine with taxonomy code 207Q00000X.