JACKSON HOSPITAL AND CLINIC INC
NPI 1154669752
Surgery in Montgomery, AL

Q: What is Jackson Hospital And Clinic Inc's NPI number?

The NPI number for Jackson Hospital And Clinic Inc is 1154669752. It was assigned to this organization in the NPPES registry on January 17, 2013.

Q: What is Jackson Hospital And Clinic Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since January 17, 2013

1722 PINE ST, STE 503, MONTGOMERY, AL 36106(334) 239-8000(334) 239-8000 Get Directions Write a Review

NPPES record last updated: January 17, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

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 1154669752) is a healthcare organization registered as a surgery in Montgomery, Alabama and active in the NPI registry since January 2013. The organization lists Michael Ritzus, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154669752

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameJACKSON HOSPITAL AND CLINIC INC

Location Address1722 PINE ST, STE 503Montgomery, AL 36106-1103

Mailing Address1722 Pine St, Ste 503Montgomery, AL 36106-1103

Phone(334) 239-8000

Fax(334) 239-8000

Organization SubpartNo

Authorized OfficialMichael RitzusAdministrator · (334) 293-8000

Enumeration DateJanuary 17, 2013

✔ NPI 1154669752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1722 PINE ST, Montgomery, AL 36106

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Other Names 1

Doing Business AsJackson Hospital And Clinic Inc

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, 57 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

Himanshu Aggarwal, M.D., M.S.

Urology

NPI 1316106164

1722 PINE ST STE 503
Montgomery, AL 36106

(334) 293-8271

✔ PECOS✔ Accepts MedicareSame address

Wesley Barry, M.D.,

General Surgery

NPI 1477662617

1722 PINE STREET SUITE 904
Montgomery, AL 36106

(334) 265-9225

✔ PECOS✔ Accepts MedicareSame address

Ishwarlal Bhuta, MD

Vascular Surgery

NPI 1598823122

1722 PINE STREET SUITE 801
Montgomery, AL 36106

(334) 263-1026

✔ PECOSSame address

Vijaya Boyella, MD

Gastroenterology

NPI 1932263993

1722 PINE ST STE 204
Montgomery, AL 36106

(334) 293-6825

✔ PECOS✔ Accepts MedicareSame address

Jacquelin Chua, MD

Rheumatology

NPI 1033467196

1722 PINE ST
Montgomery, AL 36106

(334) 293-8000

✔ PECOS✔ Accepts MedicareSame address

William Cumbie, MD

Internal Medicine

NPI 1053303602

1722 PINE ST STE 500
Montgomery, AL 36106

(334) 264-9500

✔ PECOSSame address

Carla De La Garza, NURSE PRACTITIONER

Nurse Practitioner

NPI 1871931832

1722 PINE ST STE 204
Montgomery, AL 36106

(334) 293-6825

✔ PECOS✔ Accepts MedicareSame address

Elizabeth Ellis, NP

Nurse Practitioner

NPI 1982213898

1722 PINE ST STE 700
Montgomery, AL 36106

(334) 834-1300

✔ PECOS✔ Accepts MedicareSame address

Muhammad Haris, MD

Gastroenterology

NPI 1073043279

1722 PINE ST
Montgomery, AL 36106

(334) 293-6825

✔ PECOS✔ Accepts MedicareSame address

Alfred Newman, MD PHD

Urology

NPI 1609864867

1722 PINE ST STE 903
Montgomery, AL 36106

(334) 265-6933

✔ PECOS✔ Accepts MedicareSame address

Pooja Poudel, MBBS

Rheumatology

NPI 1588186142

1722 PINE ST
Montgomery, AL 36106

(334) 293-8588

✔ PECOS✔ Accepts MedicareSame address

Randal Sedlak, MD

General Surgery

NPI 1780733220

1722 PINE ST STE 503
Montgomery, AL 36106

(334) 264-8741

✔ PECOSSame address

Glenn Yates, MD

Internal Medicine

NPI 1124019781

1722 PINE ST SUITE 309
Montgomery, AL 36106

(334) 262-0342

✔ PECOS✔ Accepts MedicareSame address

Gregory Borg, M.D.

Otolaryngology

NPI 1487761391

1722 PINE ST SUITE 804
Montgomery, AL 36106

(334) 834-7221

✔ PECOS✔ Accepts MedicareSame address

Thomas Cawthon, M.D.

Otolaryngology

NPI 1336256601

1722 PINE ST SUITE 804
Montgomery, AL 36106

(334) 834-7221

✔ PECOS✔ Accepts MedicareSame address

Glenn Saucer, MD

Obstetrics/Gynecology

NPI 1790770238

1722 PINE ST SUITE 603
Montgomery, AL 36106

(334) 264-2422

✔ PECOSSame address

Hajrunisa Cubro, MD

Obstetrics/Gynecology

NPI 1649730136

1725 PINE ST
Montgomery, AL 36106

(334) 293-8000

✔ PECOS✔ Accepts MedicareSame address

Harry Shao, MD

Hospitalist

NPI 1669902375

1725 PINE ST
Montgomery, AL 36106

(334) 293-4040

✔ PECOS✔ Accepts MedicareSame address

Urmil Patel, M.D.

Emergency Medicine

NPI 1336119015

1725 PINE ST
Montgomery, AL 36106

(334) 293-8000

✔ PECOS✔ Accepts MedicareSame address

Pranav Garlapati, MD

Pediatric Medicine

NPI 1003269937

1725 PINE ST
Montgomery, AL 36106

(850) 376-4584

✔ 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 1154669752. It was assigned to this organization in the NPPES registry on January 17, 2013.

Where is Jackson Hospital And Clinic Inc located?

Jackson Hospital And Clinic Inc is located at 1722 Pine St Ste 503, Montgomery, AL 36106. The listed phone number is (334) 239-8000.

What is Jackson Hospital And Clinic Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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, 57 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 January 17, 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.