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JACKSON HOSPITAL AND CLINIC, INC
NPI 1215519418
Family Medicine in Deatsville, AL

Active since April 27, 2021CLIA 01D2104538 · Accreditation
2175 US HIGHWAY 31 N, DEATSVILLE, AL 36022(334) 568-2120 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, Apr 27, 2021 (2 updates tracked since 2021).

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 1215519418), doing business as Jackson Family Medicine Pine Level, is a healthcare organization registered as a family medicine in Deatsville, Alabama and active in the NPI registry since April 2021. The organization holds an CLIA Accreditation certificate valid through November 19, 2027 and lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1215519418
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address2175 US HIGHWAY 31 NDeatsville, AL 36022-2714
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 568-2120
Organization SubpartNo
Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335
Enumeration DateApril 27, 2021
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1215519418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2175 US HIGHWAY 31 N, Deatsville, AL 36022
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Other Names 1

Doing Business AsJackson Family Medicine Pine Level

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 01D2104538

Jackson Hospital & Clinic, Inc · Deatsville, AL
Active · expires Nov 19, 2027
CLIA Number01D2104538
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorSteven Allen
Laboratory Phone(334) 568-2120
Laboratory LocationJackson Hospital & Clinic, Inc2175 Us Hwy 31 N, Deatsville, AL 36022
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

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

EXPRESS MRO
Family Medicine
2175 US HIGHWAY 31 N
DEATSVILLE, AL 36022
Elmore County (334) 358-3777

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 1215519418. It was assigned to this organization in the NPPES registry on April 27, 2021. The provider is doing business as Jackson Family Medicine Pine Level.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 2175 Us Highway 31 N, Deatsville, AL 36022. The listed phone number is (334) 568-2120.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jackson Hospital And Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D2104538) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 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.