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: July 19, 2026.

  • Organization
  • Colon & Rectal Surgery

About JACKSON HOSPITAL AND CLINIC, INC

This page provides the complete NPI Profile along with additional information for Jackson Hospital And Clinic, Inc, a provider established in Montgomery, Alabama operating as a Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1306447958 assigned on November 2020. The practitioner's primary taxonomy code is 208C00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Tara Herring (Revenue Cycle Director)

NPI
1306447958 Verify this NPI
Provider Name
JACKSON HOSPITAL AND CLINIC, INC
Entity Type
Organization
Location Address
1722 PINE ST STE 402 MONTGOMERY, AL 36106
Location Phone
(334) 293-8736
Location Fax
(334) 293-8738
Mailing Address
1722 PINE ST STE 203 MONTGOMERY, AL 36106
Mailing Phone
(334) 293-8736
Mailing Fax
(334) 293-8738
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2020
Last Update Date
11-02-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Colon & Rectal Surgery

Taxonomy Code
208C00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TARA HERRING

Authorized Official Title
REVENUE CYCLE DIRECTOR
Authorized Official Phone
(334) 293-8736

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1722 PINE ST STE 402
MONTGOMERY, AL 36106
Neurological Surgery
1722 PINE ST STE 402
MONTGOMERY, AL 36106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306447958, enumerated as an "organization" on November 02, 2020.

The provider is located at 1722 PINE ST STE 402 MONTGOMERY, AL 36106 and the phone number is (334) 293-8736.

Colon & Rectal Surgery with taxonomy code 208C00000X.