JACKSON CLINIC MULTISPECIALTY WETUMPKA
NPI 1295351963
Specialist in Wetumpka, AL
About Jackson Clinic Multispecialty Wetumpka NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON CLINIC MULTISPECIALTY WETUMPKA (NPI 1295351963) is a healthcare organization registered as a specialist in Wetumpka, Alabama and active in the NPI registry since June 2020. The organization lists Tara Herring, Revenue Cycle Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Clinic Multispecialty Wetumpka 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 Clinic Multispecialty Wetumpka, which bills Medicare for the services they deliver. Of these, 4 practice 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.
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 Clinic Multispecialty Wetumpka's NPI number?
The NPI number for Jackson Clinic Multispecialty Wetumpka is 1295351963. It was assigned to this organization in the NPPES registry on June 18, 2020.
Where is Jackson Clinic Multispecialty Wetumpka located?
Jackson Clinic Multispecialty Wetumpka is located at 277 Huntress St, Wetumpka, AL 36092. The listed phone number is (334) 293-8736.
What is Jackson Clinic Multispecialty Wetumpka's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Jackson Clinic Multispecialty Wetumpka enrolled in Medicare?
Yes. Jackson Clinic Multispecialty Wetumpka is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Clinic Multispecialty Wetumpka?
According to the CMS Revalidation Reassignment List (October 2026 release), 247 clinicians in 26 Medicare specialties reassign their Medicare billing to Jackson Clinic Multispecialty Wetumpka. 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jackson Clinic Multispecialty Wetumpka was last updated on June 18, 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 Clinic Multispecialty Wetumpka · NPI 1295351963
Specialist organization in Wetumpka, Alabama. Organization record, active in the CMS NPPES registry since June 18, 2020.
## Identity
- **NPI:** 1295351963 (Entity type: Organization)
- **Enumerated:** June 18, 2020
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Tara Herring, REVENUE CYCLE DIRECTOR
## Practice location
- **Address:** 277 HUNTRESS ST, Wetumpka, AL 36092-3329
- **Phone:** (334) 293-8736 · **Fax:** (334) 293-8738
## 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); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1295351963/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1295351963) · Data from the CMS NPPES public registry.