JACKSON HOSPITAL AND CLINIC, INC
NPI 1114082393
Internal Medicine in Montgomery, AL

NPI Status: Active since December 27, 2006

Contact Information

1801 PINE ST
SUITE 302
MONTGOMERY, AL
ZIP 36106
Phone: (334) 262-7444

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  • Organization
  • Internal Medicine
  • CLIA Number: 01D0918314
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-30-2027

About JACKSON HOSPITAL AND CLINIC, INC

This page provides the complete NPI Profile along with additional information for Jackson Hospital And Clinic, Inc, an internist established in Montgomery, Alabama operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1114082393 assigned on December 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Kelin Penney (Executive Director)

NPI
1114082393
Provider Legal Name
JACKSON HOSPITAL AND CLINIC, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1801 PINE ST SUITE 302 MONTGOMERY, AL 36106
Location Phone
(334) 262-7444
Mailing Address
1722 PINE ST STE 804 MONTGOMERY, AL 36106
Mailing Phone
(334) 293-6858
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2006
Last Update Date
03-09-2026
Code Navigator

An internist like Jackson Hospital And Clinic, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELIN PENNEY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(334) 240-2335

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D0918314
Facility Type
Physician Office
Certificate Effective Date
October 01, 2025
Certificate Expiration Date
September 30, 2027
Laboratory Director
SHARMA SAHIL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jackson Hospital And Clinic, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114082393, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 0 + 8 + 4 + 3 + 1 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1114082393.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1801 PINE ST, SUITE 204
MONTGOMERY, AL 36106
Family Medicine
1801 PINE ST, SUITE #301
MONTGOMERY, AL 36106
Surgery
1801 PINE ST, SUITE 202
MONTGOMERY, AL 36106
Surgery
1801 PINE ST, SUITE 202
MONTGOMERY, AL 36106
Surgery
1801 PINE ST, SUITE 202
MONTGOMERY, AL 36106
Physical Therapist
1801 PINE ST, SUITE 102
MONTGOMERY, AL 36106
Family Medicine
1801 PINE ST, SUITE 301
MONTGOMERY, AL 36106
Family Medicine
1801 PINE ST, SUITE 204
MONTGOMERY, AL 36106
Internal Medicine
1801 PINE ST, SUITE 302
MONTGOMERY, AL 36106
Registered Nurse (General Practice)
1801 PINE ST, STE 302
MONTGOMERY, AL 36106
Family Medicine
1801 PINE ST, SUITE 301
MONTGOMERY, AL 36106
Internal Medicine (Infectious Disease)
1801 PINE ST
MONTGOMERY, AL 36106
Internal Medicine (Infectious Disease)
1801 PINE ST
MONTGOMERY, AL 36106
Nurse Practitioner (Family)
1801 PINE ST, SUITE 302
MONTGOMERY, AL 36106
Psychiatry & Neurology (Neurology)
1801 PINE ST, SUITE 202
MONTGOMERY, AL 36106
Surgery (Vascular Surgery)
1801 PINE ST, SUITE 101
MONTGOMERY, AL 36106
Nurse Practitioner (Family)
1801 PINE ST, SUITE 203
MONTGOMERY, AL 36106
Internal Medicine
1801 PINE ST, SUITE 301
MONTGOMERY, AL 36106
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1801 PINE ST, SUITE 203
MONTGOMERY, AL 36106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114082393, enumerated as an "organization" on December 27, 2006.

The provider is located at 1801 PINE ST SUITE 302 MONTGOMERY, AL 36106 and the phone number is (334) 262-7444.

Internal Medicine with taxonomy code 207R00000X.