JACKSON HOSPITAL AND CLINIC, INC.
NPI 1205494416
Urology - Urogynecology and Reconstructive Pelvic Surgery in Montgomery, AL
NPI Status: Active since June 03, 2019
Contact Information
1722 PINE ST STE 503
MONTGOMERY, AL
ZIP 36106
Phone: (334) 293-8736
Fax: (334) 293-8738
- Organization
- Urology
- Urogynecology and Reconstructive Pelvic ...
About JACKSON HOSPITAL AND CLINIC, INC.
This page provides the complete NPI Profile along with additional information for Jackson Hospital And Clinic, Inc., a provider established in Montgomery, Alabama operating as a Urology, focusing in urogynecology and reconstructive pelvic surgery . The healthcare provider is registered in the NPI registry with number 1205494416 assigned on June 2019. The practitioner's primary taxonomy code is 2088F0040X. 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 authorized official of this NPI record is Kelin Penney (Executive Director)
- NPI
- 1205494416
- Provider Name
- JACKSON HOSPITAL AND CLINIC, INC.
- Entity Type
- Organization
- Location Address
- 1722 PINE ST STE 503 MONTGOMERY, AL 36106
- Location Phone
- (334) 293-8736
- Location Fax
- (334) 293-8738
- Mailing Address
- 1722 PINE ST STE 804 MONTGOMERY, AL 36106
- Mailing Phone
- (334) 293-8736
- Mailing Fax
- (334) 293-8738
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-03-2019
- Last Update Date
- 03-09-2026
- Code Navigator
Location Map
Secondary Locations
- 2030 Lay Dam Rd
Clanton, AL 35045
(334) 293-8736 - 7150 Halcyon Park Dr
Montgomery, AL 36117
(334) 293-8736
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
Urology Urogynecology and Reconstructive Pelvic Surgery
- Taxonomy Code
- 2088F0040X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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.
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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 1205494416, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
MONTGOMERY, AL 36106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205494416, enumerated as an "organization" on June 03, 2019.
The provider is located at 1722 PINE ST STE 503 MONTGOMERY, AL 36106 and the phone number is (334) 293-8736.
Urology with taxonomy code 2088F0040X and a focus in Urogynecology and Reconstructive Pelvic Surgery.
