JACKSON HOSPITAL & CLINIC, INC.
NPI 1215464300
Surgery in Montgomery, AL

Q: What is Jackson Hospital & Clinic, Inc.'s NPI number?

The NPI number for Jackson Hospital & Clinic, Inc. is 1215464300. It was assigned to this organization in the NPPES registry on May 19, 2017. The provider is doing business as Jackson General Surgery Wound Care.

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

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

Active since May 19, 2017

1801 PINE ST STE 101, MONTGOMERY, AL 36106(334) 293-8922(334) 293-6820 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2026, Jun 16, 2018, May 19, 2017 (3 updates tracked since 2017).

On this page

About Jackson Hospital & Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON HOSPITAL & CLINIC, INC. (NPI 1215464300), doing business as Jackson General Surgery Wound Care, is a healthcare organization registered as a surgery in Montgomery, Alabama and active in the NPI registry since May 2017. The organization lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215464300

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameJACKSON HOSPITAL & CLINIC, INC.

Location Address1801 PINE ST STE 101Montgomery, AL 36106-1154

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

Phone(334) 293-8922

Fax(334) 293-6820

Organization SubpartNo

Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335

Enumeration DateMay 19, 2017

Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1215464300 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.

1801 PINE ST STE 101, Montgomery, AL 36106

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Other Names 1

Doing Business AsJackson General Surgery Wound Care

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

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 & 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 & Clinic, Inc., which bills Medicare for the services they deliver. Of these, 14 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

Lesley Lowe, CRNP

Nurse Practitioner

NPI 1710773999

1801 PINE ST STE 301
Montgomery, AL 36106

(334) 265-5577

✔ PECOS✔ Accepts MedicareSame address

Elaina Adderley, MD

Endocrinology

NPI 1699220988

1801 PINE STREET, SUITE 204 THE JACKSON CLINIC
Montgomery, AL 36106

(334) 293-8877

✔ PECOS✔ Accepts MedicareSame address

Hima Ammana, MD

Endocrinology

NPI 1902250343

1801 PINE ST STE 204
Montgomery, AL 36106

(334) 293-8877

✔ PECOS✔ Accepts MedicareSame address

Max Capouano, MD

Family Practice

NPI 1811416050

1801 PINE ST STE 301
Montgomery, AL 36106

(334) 265-5577

✔ PECOS✔ Accepts MedicareSame address

Gary Harmon, M.D.

General Surgery

NPI 1245209303

1801 PINE ST STE 101
Montgomery, AL 36106

(334) 293-8138

✔ PECOS✔ Accepts MedicareSame address

Julie Jenkins, CRNP

Nurse Practitioner

NPI 1194178772

1801 PINE ST SUITE 203
Montgomery, AL 36106

(334) 293-8877

✔ PECOS✔ Accepts MedicareSame address

Shamsuddin Lalani, M.D.

Internal Medicine

NPI 1578853594

1801 PINE STREET
Montgomery, AL 36106

(817) 706-2091

✔ PECOS✔ Accepts MedicareSame address

Warda Niaz, MBBS

Endocrinology

NPI 1184090656

1801 PINE ST STE 203
Montgomery, AL 36106

(334) 293-8877

✔ PECOS✔ Accepts MedicareSame address

Mohammad-Ehsan Owrangi

Internal Medicine

NPI 1023660677

1801 PINE ST STE 202
Montgomery, AL 36106

(412) 359-3166

✔ PECOSSame address

Richard Salazar Montero, MD

Neurology

NPI 1245436955

1801 PINE ST SUITE 202
Montgomery, AL 36106

(334) 293-8082

✔ PECOS✔ Accepts MedicareSame address

Miho Suga, MD

Family Practice

NPI 1194175513

1801 PINE ST STE 301
Montgomery, AL 36106

(334) 265-5577

✔ PECOSSame address

William Jones, MD

Family Practice

NPI 1669481537

1801 PINE ST SUITE #301
Montgomery, AL 36106

(334) 265-5577

✔ PECOS✔ Accepts MedicareSame address

Jodie Shedd, CRNP

Nurse Practitioner

NPI 1346619368

1801 PINE ST SUITE 302
Montgomery, AL 36106

(334) 262-7444

✔ PECOS✔ Accepts MedicareSame address

Kimberly Hindi, CRNP

Nurse Practitioner

NPI 1043221161

1801 PINE ST STE 302
Montgomery, AL 36106

(334) 264-7842

✔ PECOS✔ Accepts MedicareSame address

Gregory Borg, M.D.

Otolaryngology

NPI 1487761391

1722 PINE ST SUITE 804
Montgomery, AL 36106

(334) 834-7221

✔ PECOS✔ Accepts Medicare0.1 mi

James Mclaughlin, MD

Internal Medicine

NPI 1568453124

1722 PINE ST SUITE 309
Montgomery, AL 36106

(334) 262-0342

✔ PECOS✔ Accepts Medicare0.1 mi

Glenn Saucer, MD

Obstetrics/Gynecology

NPI 1790770238

1722 PINE ST SUITE 603
Montgomery, AL 36106

(334) 264-2422

✔ PECOS0.1 mi

Peter Shashy, MD

Urology

NPI 1477515971

1722 PINE ST SUITE 502
Montgomery, AL 36106

(334) 262-4418

✔ PECOS✔ Accepts Medicare0.1 mi

Wesley Barry, M.D.,

General Surgery

NPI 1477662617

1722 PINE STREET SUITE 904
Montgomery, AL 36106

(334) 265-9225

✔ PECOS✔ Accepts Medicare0.1 mi

Ishwarlal Bhuta, MD

Vascular Surgery

NPI 1598823122

1722 PINE STREET SUITE 801
Montgomery, AL 36106

(334) 263-1026

✔ PECOS0.1 mi

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 & Clinic, Inc.'s NPI number?

The NPI number for Jackson Hospital & Clinic, Inc. is 1215464300. It was assigned to this organization in the NPPES registry on May 19, 2017. The provider is doing business as Jackson General Surgery Wound Care.

Where is Jackson Hospital & Clinic, Inc. located?

Jackson Hospital & Clinic, Inc. is located at 1801 Pine St Ste 101, Montgomery, AL 36106. The listed phone number is (334) 293-8922.

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

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

Is Jackson Hospital & Clinic, Inc. enrolled in Medicare?

Yes. Jackson Hospital & Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Hospital & 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 & 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, 14 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 & 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 7 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.