JACKSON FAMILY MEDICINE MIDTOWN
NPI 1245750660
Family Medicine in Montgomery, AL
About Jackson Family Medicine Midtown NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON FAMILY MEDICINE MIDTOWN (NPI 1245750660) is a healthcare organization registered as a family medicine in Montgomery, Alabama and active in the NPI registry since June 2017. The organization holds 2 active CLIA laboratory certificates and lists Tara Herring, Revenue Cycle Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Family Medicine Midtown is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
247Medicare enrollment records show 247 clinicians reassign Medicare billing to Jackson Family Medicine Midtown, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 166 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 247Montgomery, AL 36106
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 Waiver 01D0304172
Jackson Hospital & Clinic · Montgomery, ALCertificate of Waiver 01D0906044
Jackson Hospital And Clinic · Montgomery, ALFrequently 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 1245750660. It was assigned to this organization in the NPPES registry on June 27, 2017. The provider is doing business as Jackson Family Medicine Midtown.
Where is Jackson Hospital & Clinic, Inc. located?
Jackson Hospital & Clinic, Inc. is located at 4150 Carmichael Rd Ste B, Montgomery, AL 36106. The listed phone number is (334) 293-8282.
What is Jackson Hospital & Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 2 practice at this address and 166 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jackson Hospital & Clinic, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Jackson Hospital & Clinic, Inc. was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Jackson Family Medicine Midtown · NPI 1245750660
Family Medicine organization in Montgomery, Alabama. Organization record, active in the CMS NPPES registry since June 27, 2017.
## Identity
- **NPI:** 1245750660 (Entity type: Organization)
- **Enumerated:** June 27, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Jackson Hospital & Clinic, Inc.
- **Organization subpart:** No
- **Authorized official:** Tara Herring, REVENUE CYCLE DIRECTOR
## Practice location
- **Address:** 4150 CARMICHAEL RD STE B, Montgomery, AL 36106-2933
- **Phone:** (334) 293-8282 · **Fax:** (334) 293-8286
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 247 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (86), Internal Medicine (39), Family Practice (26); 2 practice at this address and 166 within 10 miles; [full list](https://npiprofile.com/npi/1245750660/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245750660) · Data from the CMS NPPES public registry.