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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACKSON HOSPITAL AND CLINIC, INC
NPI 1275439689
Pediatrics - Neonatal-Perinatal Medicine in Montgomery, AL

Active since October 14, 2026
1725 PINE ST, MONTGOMERY, AL 36106(334) 293-8965 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1275439689), doing business as Jackson Neonatology Group, is a healthcare organization registered as a neonatal-perinatal medicine in Montgomery, Alabama and active in the NPI registry since October 2026. The organization lists Monisha Rudolph, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1275439689
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address1725 PINE STMontgomery, AL 36106-1109
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8965
Phone(334) 293-8965
Organization SubpartYes
Authorized OfficialMonisha RudolphCredentialing Coordinator · (334) 314-2057
Enumeration DateOctober 14, 2026
Last NPPES UpdateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1275439689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1725 PINE ST, Montgomery, AL 36106
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Other Names 1

Doing Business AsJackson Neonatology Group

Other Providers at the Same Location NPPES 20

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

DR. JAMES D WURST PHARM.D.
Pharmacist
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8696
PRANAV GARLAPATI MD
Pediatrics (Neonatal-Perinatal Medicine)
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (850) 376-4584
MRS. AMANDA MARIE HAIGLER DNP CRNA
Nurse Anesthetist, Certified Registered
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8000
BRENDA SIMYIU PHARMD
Pharmacist
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8000
ANDREW EASTERLING CRNA
Nurse Anesthetist, Certified Registered
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 279-1450
TIFFANY RENEE SMITH CRNP
Nurse Practitioner (Family)
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8022
MR. JASON NATHANIEL PRATT CRNP
Nurse Practitioner (Family)
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8000
JAMES COWELL CRNA
Nurse Anesthetist, Certified Registered
1725 PINE ST
MONTGOMERY, AL 36106
Montgomery County (334) 293-8000

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 1275439689. It was assigned to this organization in the NPPES registry on October 14, 2026. The provider is doing business as Jackson Neonatology Group.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 1725 Pine St, Montgomery, AL 36106. The listed phone number is (334) 293-8965.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic, Inc was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.