JACKSON HOSPITAL AND CLINIC, INC
NPI 1134797293
Surgery - Plastic and Reconstructive Surgery in Montgomery, AL

Active since June 15, 2021
1758 PARK PL STE 103, MONTGOMERY, AL 36106(334) 373-3611 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1134797293), doing business as River Regions Facial Plastic, is a healthcare organization registered as a plastic and reconstructive surgery in Montgomery, Alabama and active in the NPI registry since June 2021. The organization lists Tara Herring, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1134797293
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address1758 PARK PL STE 103Montgomery, AL 36106-1133
Mailing Address1722 Pine St Ste 203Montgomery, AL 36106-1158 · (334) 293-8736 · Fax (334) 293-8738
Organization SubpartNo
Authorized OfficialTara HerringRevenue Cycle Director · (334) 293-8736
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1134797293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1758 PARK PL STE 103, Montgomery, AL 36106

Other Names 1

Doing Business AsRiver Regions Facial Plastic

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

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, 22 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 1841576915
1758 PARK PL SUITE 100
Montgomery, AL 36106
(334) 265-8455
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528475084
1758 PARK PL STE 300
Montgomery, AL 36106
(334) 293-8922
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1104021567
1758 PARK PL STE 401
Montgomery, AL 36106
(334) 264-9191
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467304931
1758 PARK PL STE 401
Montgomery, AL 36106
(334) 264-9191
✔ PECOSSame address
Nurse Practitioner
NPI 1710470554
1758 PARK PL STE 406
Montgomery, AL 36106
(334) 240-2348
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598339038
1758 PARK PL STE 201
Montgomery, AL 36106
(334) 263-3630
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053750315
1758 PARK PL STE 100
Montgomery, AL 36106
(334) 265-8455
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306376694
1758 PARK PL STE 300
Montgomery, AL 36106
(334) 293-8922
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1346566700
1758 PARK PL SUITE 406
Montgomery, AL 36106
(251) 716-4744
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467166975
1758 PARK PL STE 300
Montgomery, AL 36106
(334) 293-8922
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528690542
1758 PARK PLACE SUITE 301
Montgomery, AL 36106
(334) 240-2335
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427875475
1758 PARK PL STE 300
Montgomery, AL 36106
(334) 293-8922
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1578790895
1758 PARK PL STE 300
Montgomery, AL 36106
(334) 293-8922
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1780003822
1758 PARK PL STE 301
Montgomery, AL 36106
(334) 284-1500
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1093992646
1758 PARK PL STE 300
Montgomery, AL 36106
(334) 293-8922
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1750764221
1111 OLIVE ST
Montgomery, AL 36106
(334) 834-7221
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1164411963
1111 OLIVE ST
Montgomery, AL 36106
(334) 834-7221
✔ PECOSSame address
Family Practice
NPI 1528268703
1111 OLIVE STREET
Montgomery, AL 36106
(334) 293-8888
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1831407964
1111 OLIVE ST
Montgomery, AL 36106
(334) 293-8888
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1497174189
1111 OLIVE ST
Montgomery, AL 36106
(334) 834-7221
✔ PECOSSame 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 1134797293. It was assigned to this organization in the NPPES registry on June 15, 2021. The provider is doing business as River Regions Facial Plastic.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 1758 Park Pl Ste 103, Montgomery, AL 36106. The listed phone number is (334) 373-3611.

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

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

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, 22 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 June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.