JACKSON HOSPITAL AND CLINIC, INC.
NPI 1205494416
Urology - Urogynecology and Reconstructive Pelvic 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 1205494416. It was assigned to this organization in the NPPES registry on June 3, 2019. The provider is doing business as Jackson Clinic Urogynecology and Jackson Clinic Urogynecology - Clanton.

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

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Active since June 03, 2019

1722 PINE ST STE 503, MONTGOMERY, AL 36106(334) 293-8736(334) 293-8738 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Jun 3, 2019 (2 updates tracked since 2019).

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 1205494416), doing business as Jackson Clinic Urogynecology, is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Montgomery, Alabama and active in the NPI registry since June 2019. The organization maintains 2 additional practice locations and lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205494416

Entity TypeOrganization

Primary Taxonomy2088F0040X

Legal Business NameJACKSON HOSPITAL AND CLINIC, INC.

Location Address1722 PINE ST STE 503Montgomery, AL 36106-1160

Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 293-8738

Phone(334) 293-8736

Fax(334) 293-8738

Organization SubpartNo

Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335

Enumeration DateJune 3, 2019

Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1205494416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2088F0040X

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

1722 PINE ST STE 503, Montgomery, AL 36106

Open in Google Maps ↗

Other Names 2

Doing Business AsJackson Clinic Urogynecology

Doing Business AsJackson Clinic Urogynecology - Clanton

Secondary Practice Locations 2

Location 17150 Halcyon Park DrMontgomery, AL 36117-7713 · Phone (334) 293-8736 · Fax (334) 293-8738

Location 22030 Lay Dam RdClanton, AL 35045-8344 · Phone (334) 293-8736 · Fax (334) 293-8738

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HIMANSHU AGGARWAL M.D., M.S.

Urology (Urogynecology and Reconstructive Pelvic Surgery)

1722 PINE ST STE 503
MONTGOMERY, AL 36106

Montgomery County (334) 293-8271

DR. RANDAL M SEDLAK MD

Surgery

1722 PINE ST STE 503
MONTGOMERY, AL 36106

Montgomery County (334) 264-8741

ANAYA WILLIAMS

Nurse Practitioner (Family)

1722 PINE ST STE 503
MONTGOMERY, AL 36106

Montgomery County (334) 293-8273

JACKSON HOSPITAL AND CLINIC, INC.

Surgery

1722 PINE ST STE 503
MONTGOMERY, AL 36106

Montgomery County (334) 264-8741

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 1205494416. It was assigned to this organization in the NPPES registry on June 3, 2019. The provider is doing business as Jackson Clinic Urogynecology and Jackson Clinic Urogynecology - Clanton.

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) 293-8736.

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

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

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 4 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.