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JACKSON HOSPITAL AND CLINIC INC.
NPI 1194256438
Surgery in Montgomery, AL

Active since March 27, 2017
1722 PINE ST STE 201, MONTGOMERY, AL 36106(334) 264-8741(334) 264-2216 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Jan 30, 2020, Aug 13, 2018 and 1 more (4 updates tracked since 2017).

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 1194256438), doing business as Jackson General Surgery, is a healthcare organization registered as a surgery in Montgomery, Alabama and active in the NPI registry since March 2017. The organization maintains a secondary practice location in Prattville and lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194256438
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC.
Location Address1722 PINE ST STE 201Montgomery, AL 36106-1158
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 240-2337 · Fax (334) 293-6859
Phone(334) 264-8741
Fax(334) 264-2216
Organization SubpartNo
Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335
Enumeration DateMarch 27, 2017
Last NPPES UpdateMarch 9, 20264 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1194256438 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 STE 201, Montgomery, AL 36106
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Other Names 1

Doing Business AsJackson General Surgery

Secondary Practice Location 1

Location 1554 McQueen Smith Rd NPrattville, AL 36066-5558 · Phone (334) 264-8741 · Fax (334) 264-2216

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1194256438. It was assigned to this organization in the NPPES registry on March 27, 2017. The provider is doing business as Jackson General Surgery.

Where is Jackson Hospital And Clinic Inc. located?

Jackson Hospital And Clinic Inc. is located at 1722 Pine St Ste 201, Montgomery, AL 36106. The listed phone number is (334) 264-8741.

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

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

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.