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

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: August 09, 2026.

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

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
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

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

Other Providers at the Same Location NPPES

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

Surgery
1801 PINE ST STE 101
MONTGOMERY, AL 36106

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.

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 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.