JACKSON HOSPITAL AND CLINIC, INC
NPI 1114082393
Internal Medicine in Montgomery, AL
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 1114082393), doing business as Jackson Primary Care, is a healthcare organization registered as an internal medicine in Montgomery, Alabama and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Kelin Penney, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Other Names 1
Group Practice 1
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 01D0918314
Jackson Hospital & Clinic, Inc · Montgomery, ALOther Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1114082393. It was assigned to this organization in the NPPES registry on December 27, 2006.
Where is Jackson Hospital And Clinic, Inc located?
Jackson Hospital And Clinic, Inc is located at 1801 Pine St Suite 302, Montgomery, AL 36106. The listed phone number is (334) 262-7444.
What is Jackson Hospital And Clinic, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Does Jackson Hospital And Clinic, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D0918314) is associated with this NPI, valid through September 30, 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 March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
