JACKSON FAMILY PRACTICE
NPI 1093870339
Family Medicine in Montgomery, AL
About Jackson Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON FAMILY PRACTICE (NPI 1093870339) is a healthcare organization registered as a family medicine in Montgomery, Alabama and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Edward C Scholl, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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 Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
247Medicare enrollment records show 247 clinicians reassign Medicare billing to Jackson Family Practice, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 167 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 247Montgomery, AL 36106
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 01D0304136
Jackson Family Practice · Montgomery, ALFrequently 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 1093870339. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Jackson Family Practice.
Where is Jackson Hospital And Clinic, Inc located?
Jackson Hospital And Clinic, Inc is located at 1801 Pine St Suite 301, Montgomery, AL 36106. The listed phone number is (334) 265-5577.
What is Jackson Hospital And Clinic, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 14 practice at this address and 167 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jackson Hospital And Clinic, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D0304136) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jackson Hospital And Clinic, Inc was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jackson Family Practice · NPI 1093870339
Family Medicine organization in Montgomery, Alabama. Organization record, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1093870339 (Entity type: Organization)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Jackson Hospital And Clinic, Inc
- **Organization subpart:** No
- **Authorized official:** Edward Scholl, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 1801 PINE ST, SUITE 301, Montgomery, AL 36106-0165
- **Phone:** (334) 265-5577 · **Fax:** (334) 265-5584
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 247 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (86), Internal Medicine (39), Family Practice (26); 14 practice at this address and 167 within 10 miles; [full list](https://npiprofile.com/npi/1093870339/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2013
- **Other identifiers:** Medicare PIN H283 (AL)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1093870339) · Data from the CMS NPPES public registry.