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JACKSON FAMILY PRACTICE
NPI 1093870339
Family Medicine in Montgomery, AL

Active since December 27, 2006CLIA 01D0304136 · Waiver
1801 PINE ST, SUITE 301, MONTGOMERY, AL 36106(334) 265-5577(334) 265-5584 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1093870339
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address1801 PINE ST, SUITE 301Montgomery, AL 36106-0165
Mailing Address2257 Taylor Rd, Suite 200Montgomery, AL 36117-7790 · (334) 270-9914 · Fax (334) 270-3195
Phone(334) 265-5577
Fax(334) 265-5584
Organization SubpartNo
Authorized OfficialEdward C SchollChief Financial Officer · (334) 293-8000
Enumeration DateDecember 27, 2006
Last NPPES UpdateApril 10, 2013
✔ NPI 1093870339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1801 PINE ST, Montgomery, AL 36106
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Other Names 1

Doing Business AsJackson Family Practice

Other Identifiers 1

Medicare PINH283AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, AL
Active · expires May 26, 2027
CLIA Number01D0304136
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorMax Capouano
Laboratory Phone(334) 265-5577
Laboratory LocationJackson Family Practice1801 Pine Street Suite 301 Attn Kelin Penney, Montgomery, AL 36106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

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

KIMBERLY ANN HINDI CRNP
Registered Nurse (General Practice)
1801 PINE ST, STE 302
MONTGOMERY, AL 36106
Montgomery County (334) 264-7842
MRS. CAROL L ANDERS CRNP
Nurse Practitioner (Family)
1801 PINE ST, SUITE 204
MONTGOMERY, AL 36106
Montgomery County (334) 263-4277
ALEX KREHER, M.D., P.C.
Surgery
1801 PINE ST, SUITE 202
MONTGOMERY, AL 36106
Montgomery County (334) 277-3572
JACKSON HOSPITAL AND CLINIC, INC
Family Medicine
1801 PINE ST, SUITE 204
MONTGOMERY, AL 36106
Montgomery County (334) 263-4277
JACKSON HOSPITAL AND CLINIC, INC
Internal Medicine
1801 PINE ST, SUITE 302
MONTGOMERY, AL 36106
Montgomery County (334) 262-7444
DR. ALEXANDER VAUGH KREHER JR. M.D.
Surgery
1801 PINE ST, SUITE 202
MONTGOMERY, AL 36106
Montgomery County (334) 265-9888
JULIE JENKINS CRNP
Nurse Practitioner (Family)
1801 PINE ST, SUITE 203
MONTGOMERY, AL 36106
Montgomery County (334) 293-8877
RICHARD SALAZAR MONTERO MD
Psychiatry & Neurology (Neurology)
1801 PINE ST, SUITE 202
MONTGOMERY, AL 36106
Montgomery County (334) 293-8082

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 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.

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.