JACKSON HOSPITAL AND CLINIC, INC.
NPI 1073264107
Emergency Medicine in Montgomery, AL

Active since January 11, 2022
1725 PINE ST, MONTGOMERY, AL 36106(334) 293-8147 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2023, Jan 11, 2022 (2 updates tracked since 2022).

About Jackson Hospital And Clinic, Inc. NPPES

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

JACKSON HOSPITAL AND CLINIC, INC. (NPI 1073264107) is a healthcare organization registered as an emergency medicine in Montgomery, Alabama and active in the NPI registry since January 2022. The organization lists Melody Cowdrey, Director-revenue Cycle Integration, as its authorized official.

NPPES Registry Identity

NPI1073264107
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC.
Location Address1725 PINE STMontgomery, AL 36106-1117
Mailing Address1725 Pine StMontgomery, AL 36106-1109 · (334) 293-8147
Organization SubpartNo
Authorized OfficialMelody CowdreyDirector-revenue Cycle Integration · (334) 293-8147
Enumeration DateJanuary 11, 2022
Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1073264107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1725 PINE ST, Montgomery, AL 36106

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Hospital And Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

247

Medicare enrollment records show 247 clinicians reassign Medicare billing to Jackson Hospital And Clinic, Inc., which bills Medicare for the services they deliver. Of these, 57 practice at this address and 167 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner86
Internal Medicine39
Family Practice26
Cardiovascular Disease (Cardiology)10
General Surgery9
Hospitalist8
Otolaryngology8
Urology7
18 other specialties54

Nearest to this location (20)

See all 247
Nurse Practitioner
NPI 1801675608
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOSSame address
Gastroenterology
NPI 1992069348
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1649730136
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174209779
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOSSame address
Internal Medicine
NPI 1407292840
1725 PINE ST
Montgomery, AL 36106
(334) 293-8736
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1306178496
1725 PINE ST JACKSON HOSPITAL
Montgomery, AL 36106
(334) 293-8067
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1669902375
1725 PINE ST
Montgomery, AL 36106
(334) 293-4040
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1083277685
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1336119015
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1730123217
1725 PINE ST EMERGENCY DEPARTMENT
Montgomery, AL 36106
(334) 293-8022
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1285084087
1725 PINE ST STE 201
Montgomery, AL 36106
(334) 293-6858
✔ PECOSSame address
Pediatric Medicine
NPI 1003269937
1725 PINE ST
Montgomery, AL 36106
(850) 376-4584
✔ PECOSSame address
Urology
NPI 1316106164
1722 PINE ST STE 503
Montgomery, AL 36106
(334) 293-8271
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1477662617
1722 PINE STREET SUITE 904
Montgomery, AL 36106
(334) 265-9225
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1598823122
1722 PINE STREET SUITE 801
Montgomery, AL 36106
(334) 263-1026
✔ PECOSSame address
Gastroenterology
NPI 1932263993
1722 PINE ST STE 204
Montgomery, AL 36106
(334) 293-6825
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1033467196
1722 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1609864867
1722 PINE ST STE 903
Montgomery, AL 36106
(334) 265-6933
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1588186142
1722 PINE ST
Montgomery, AL 36106
(334) 293-8588
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1487761391
1722 PINE ST SUITE 804
Montgomery, AL 36106
(334) 834-7221
✔ PECOS✔ Accepts MedicareSame address
See all 247 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1073264107. It was assigned to this organization in the NPPES registry on January 11, 2022.

Where is Jackson Hospital And Clinic, Inc. located?

Jackson Hospital And Clinic, Inc. is located at 1725 Pine St, Montgomery, AL 36106. The listed phone number is (334) 293-8147.

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

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jackson Hospital And Clinic, Inc. enrolled in Medicare?

Yes. Jackson Hospital And Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Hospital And Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 247 clinicians in 26 Medicare specialties reassign their Medicare billing to Jackson Hospital And Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (86), Internal Medicine (39) and Family Practice (26). Of these, 57 practice at this address and 167 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic, Inc. was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.