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JACKSON HOSPITAL AND CLINIC, INC
NPI 1306447958
Colon & Rectal Surgery in Montgomery, AL

Active since November 02, 2020
1722 PINE ST STE 402, MONTGOMERY, AL 36106(334) 293-8736(334) 293-8738 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 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 1306447958), doing business as Jackson Clinic Colorectal Surgery, is a healthcare organization registered as a colon & rectal surgery in Montgomery, Alabama and active in the NPI registry since November 2020. The organization lists Tara Herring, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1306447958
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address1722 PINE ST STE 402Montgomery, AL 36106-1159
Mailing Address1722 Pine St Ste 203Montgomery, AL 36106-1158 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 293-8736
Fax(334) 293-8738
Organization SubpartNo
Authorized OfficialTara HerringRevenue Cycle Director · (334) 293-8736
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1306447958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1722 PINE ST STE 402, Montgomery, AL 36106
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Other Names 1

Doing Business AsJackson Clinic Colorectal Surgery

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

Other Providers at the Same Location NPPES 2

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

JACKSON HOSPITAL AND CLINIC INC
Neurological Surgery
1722 PINE ST STE 402
MONTGOMERY, AL 36106
Montgomery County (334) 293-8082
BETHANY FAIN PHELPS NP-C
Nurse Practitioner (Family)
1722 PINE ST STE 402
MONTGOMERY, AL 36106
Montgomery County (334) 293-6842

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 1306447958. It was assigned to this organization in the NPPES registry on November 2, 2020. The provider is doing business as Jackson Clinic Colorectal Surgery.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 1722 Pine St Ste 402, Montgomery, AL 36106. The listed phone number is (334) 293-8736.

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

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic, Inc was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.