JACKSON HOSPITAL AND CLINIC INC.
NPI 1194261669
Internal Medicine - Cardiovascular Disease in Montgomery, AL
NPI Status: Active since January 09, 2017
Contact Information
1758 PARK PL
SUITE 402
MONTGOMERY, AL
ZIP 36106
Phone: (334) 293-6842
Fax: (334) 293-6843
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 01D2130568
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-10-2027
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, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1194261669 assigned on January 2017. The practitioner's primary taxonomy code is 207RC0000X. 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
- NPI
- 1194261669
- Provider Legal Name
- JACKSON HOSPITAL AND CLINIC INC.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1758 PARK PL SUITE 402 MONTGOMERY, AL 36106
- Location Phone
- (334) 293-6842
- Location Fax
- (334) 293-6843
- Mailing Address
- 1722 PINE ST STE 804 MONTGOMERY, AL 36106
- Mailing Phone
- (334) 240-2337
- Mailing Fax
- (334) 293-6843
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-09-2017
- 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 Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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.
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
- 01D2130568
- Facility Type
- Physician Office
- Certificate Effective Date
- May 11, 2025
- Certificate Expiration Date
- May 10, 2027
- Laboratory Director
- BEVERLY STOUDEMIRE-HOWLETT
- 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 1194261669, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
MONTGOMERY, AL 36106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194261669, enumerated as an "organization" on January 09, 2017.
The provider is located at 1758 PARK PL SUITE 402 MONTGOMERY, AL 36106 and the phone number is (334) 293-6842.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
