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JACKSON CLINIC UROLOGY WETUMPKA
NPI 1053844654
Urology in Wetumpka, AL

Active since April 10, 2017
515 HOSPITAL DR, SUITE A, WETUMPKA, AL 36092(334) 293-8588(334) 293-6978 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Clinic Urology Wetumpka NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON CLINIC UROLOGY WETUMPKA (NPI 1053844654) is a healthcare organization registered as an urology in Wetumpka, Alabama and active in the NPI registry since April 2017. The organization lists Tara Herring, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1053844654
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC.
Location Address515 HOSPITAL DR, SUITE AWetumpka, AL 36092-1626
Mailing Address1722 Pine St, Suite 503Montgomery, AL 36106-1103 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 293-8588
Fax(334) 293-6978
Organization SubpartNo
Authorized OfficialTara HerringRevenue Cycle Director · (334) 240-2337
Enumeration DateApril 10, 2017
✔ NPI 1053844654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
515 HOSPITAL DR, Wetumpka, AL 36092
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Other Names 1

Doing Business AsJackson Clinic Urology Wetumpka

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVY CREEK OF ELMORE LLC
Surgery
515 HOSPITAL DR, SUITE A
WETUMPKA, AL 36092
Elmore County (334) 514-3688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Hospital And Clinic Inc.'s NPI number?

The NPI number for Jackson Hospital And Clinic Inc. is 1053844654. It was assigned to this organization in the NPPES registry on April 10, 2017. The provider is doing business as Jackson Clinic Urology Wetumpka.

Where is Jackson Hospital And Clinic Inc. located?

Jackson Hospital And Clinic Inc. is located at 515 Hospital Dr Suite A, Wetumpka, AL 36092. The listed phone number is (334) 293-8588.

What is Jackson Hospital And Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic Inc. was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.