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JACKSON FAMILY MEDICINE MIDTOWN
NPI 1245750660
Family Medicine in Montgomery, AL

Active since June 27, 2017CLIA Certified · 2 labs
4150 CARMICHAEL RD STE B, MONTGOMERY, AL 36106(334) 293-8282(334) 293-8286 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2020, May 21, 2019, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

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

NPI1245750660
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON HOSPITAL & CLINIC, INC.
Location Address4150 CARMICHAEL RD STE BMontgomery, AL 36106-2933
Mailing Address1722 Pine St Ste 503Montgomery, AL 36106-1160 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 293-8282
Fax(334) 293-8286
Organization SubpartNo
Authorized OfficialTara HerringRevenue Cycle Director · (334) 240-2337
Enumeration DateJune 27, 2017
Last NPPES UpdateApril 7, 20204 updates tracked since enumeration
NPPES CertifiedApril 7, 2020
✔ NPI 1245750660 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.
4150 CARMICHAEL RD STE B, Montgomery, AL 36106
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Other Names 1

Doing Business AsJackson Family Medicine Midtown

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

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, AL
Active · expires Apr 10, 2028
CLIA Number01D0304172
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorWilliam D. Smith
Laboratory Phone(334) 293-8282
Laboratory LocationJackson Hospital & Clinic1722 Pine Street Suite 1002, Montgomery, AL 36106
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D0906044

Jackson Hospital And Clinic · Montgomery, AL
Active · expires Jul 20, 2027
CLIA Number01D0906044
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorDr. Hajrunisa Cubro
Laboratory Phone(334) 293-8282
Laboratory LocationJackson Hospital And Clinic1758 Park Place Suite 201, Montgomery, AL 36106
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KATRINA JONES HARRIS FNP-C
Nurse Practitioner (Family)
4150 CARMICHAEL RD STE B
MONTGOMERY, AL 36106
Montgomery County (334) 293-8282

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 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.

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.