JACKSON HOSPITAL & CLINIC, INC.
NPI 1316447063
Internal Medicine - Gastroenterology in Montgomery, AL

Q: What is Jackson Hospital & Clinic, Inc.'s NPI number?

The NPI number for Jackson Hospital & Clinic, Inc. is 1316447063. It was assigned to this organization in the NPPES registry on February 20, 2018. The provider is doing business as Jackson Clinic Gastro Ste 406.

Q: What is Jackson Hospital & Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since February 20, 2018

1722 PINE ST STE 406, MONTGOMERY, AL 36106(334) 293-6825(334) 293-6826 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2026, Oct 23, 2023, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Jackson Hospital & Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON HOSPITAL & CLINIC, INC. (NPI 1316447063), doing business as Jackson Clinic Gastro Ste 406, is a healthcare organization registered as a gastroenterology in Montgomery, Alabama and active in the NPI registry since February 2018. The organization lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316447063

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameJACKSON HOSPITAL & CLINIC, INC.

Location Address1722 PINE ST STE 406Montgomery, AL 36106-1159

Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 293-8738

Phone(334) 293-6825

Fax(334) 293-6826

Organization SubpartNo

Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335

Enumeration DateFebruary 20, 2018

Last NPPES UpdateMarch 9, 20264 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1316447063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1722 PINE ST STE 406, Montgomery, AL 36106

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Other Names 1

Doing Business AsJackson Clinic Gastro Ste 406

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

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 Hospital & Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

247

Medicare enrollment records show 247 clinicians reassign Medicare billing to Jackson Hospital & Clinic, Inc., which bills Medicare for the services they deliver. Of these, 57 practice at this address and 167 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner86

Internal Medicine39

Family Practice26

Cardiovascular Disease (Cardiology)10

General Surgery9

Hospitalist8

Otolaryngology8

Urology7

18 other specialties54

Nearest to this location (20)

See all 247

Nina Massey, FNP-C

Nurse Practitioner

NPI 1750869814

1722 PINE ST STE 406
Montgomery, AL 36106

(334) 293-6741

✔ PECOS✔ Accepts MedicareSame address

William Sherrer, MD

Urology

NPI 1831189158

1722 PINE ST STE 502
Montgomery, AL 36106

(334) 293-8588

✔ PECOS✔ Accepts MedicareSame address

Himanshu Aggarwal, M.D., M.S.

Urology

NPI 1316106164

1722 PINE ST STE 503
Montgomery, AL 36106

(334) 293-8271

✔ PECOS✔ Accepts MedicareSame address

Wesley Barry, M.D.,

General Surgery

NPI 1477662617

1722 PINE STREET SUITE 904
Montgomery, AL 36106

(334) 265-9225

✔ PECOS✔ Accepts MedicareSame address

Ishwarlal Bhuta, MD

Vascular Surgery

NPI 1598823122

1722 PINE STREET SUITE 801
Montgomery, AL 36106

(334) 263-1026

✔ PECOSSame address

Vijaya Boyella, MD

Gastroenterology

NPI 1932263993

1722 PINE ST STE 204
Montgomery, AL 36106

(334) 293-6825

✔ PECOS✔ Accepts MedicareSame address

Jacquelin Chua, MD

Rheumatology

NPI 1033467196

1722 PINE ST
Montgomery, AL 36106

(334) 293-8000

✔ PECOS✔ Accepts MedicareSame address

William Cumbie, MD

Internal Medicine

NPI 1053303602

1722 PINE ST STE 500
Montgomery, AL 36106

(334) 264-9500

✔ PECOSSame address

Carla De La Garza, NURSE PRACTITIONER

Nurse Practitioner

NPI 1871931832

1722 PINE ST STE 204
Montgomery, AL 36106

(334) 293-6825

✔ PECOS✔ Accepts MedicareSame address

Muhammad Haris, MD

Gastroenterology

NPI 1073043279

1722 PINE ST
Montgomery, AL 36106

(334) 293-6825

✔ PECOS✔ Accepts MedicareSame address

Pooja Poudel, MBBS

Rheumatology

NPI 1588186142

1722 PINE ST
Montgomery, AL 36106

(334) 293-8588

✔ PECOS✔ Accepts MedicareSame address

Randal Sedlak, MD

General Surgery

NPI 1780733220

1722 PINE ST STE 503
Montgomery, AL 36106

(334) 264-8741

✔ PECOSSame address

Glenn Yates, MD

Internal Medicine

NPI 1124019781

1722 PINE ST SUITE 309
Montgomery, AL 36106

(334) 262-0342

✔ PECOS✔ Accepts MedicareSame address

Gregory Borg, M.D.

Otolaryngology

NPI 1487761391

1722 PINE ST SUITE 804
Montgomery, AL 36106

(334) 834-7221

✔ PECOS✔ Accepts MedicareSame address

Thomas Cawthon, M.D.

Otolaryngology

NPI 1336256601

1722 PINE ST SUITE 804
Montgomery, AL 36106

(334) 834-7221

✔ PECOS✔ Accepts MedicareSame address

Glenn Saucer, MD

Obstetrics/Gynecology

NPI 1790770238

1722 PINE ST SUITE 603
Montgomery, AL 36106

(334) 264-2422

✔ PECOSSame address

Hajrunisa Cubro, MD

Obstetrics/Gynecology

NPI 1649730136

1725 PINE ST
Montgomery, AL 36106

(334) 293-8000

✔ PECOS✔ Accepts MedicareSame address

Harry Shao, MD

Hospitalist

NPI 1669902375

1725 PINE ST
Montgomery, AL 36106

(334) 293-4040

✔ PECOS✔ Accepts MedicareSame address

Urmil Patel, M.D.

Emergency Medicine

NPI 1336119015

1725 PINE ST
Montgomery, AL 36106

(334) 293-8000

✔ PECOS✔ Accepts MedicareSame address

Pranav Garlapati, MD

Pediatric Medicine

NPI 1003269937

1725 PINE ST
Montgomery, AL 36106

(850) 376-4584

✔ PECOSSame address

See all 247 clinicians

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 Hospital & Clinic, Inc.'s NPI number?

The NPI number for Jackson Hospital & Clinic, Inc. is 1316447063. It was assigned to this organization in the NPPES registry on February 20, 2018. The provider is doing business as Jackson Clinic Gastro Ste 406.

Where is Jackson Hospital & Clinic, Inc. located?

Jackson Hospital & Clinic, Inc. is located at 1722 Pine St Ste 406, Montgomery, AL 36106. The listed phone number is (334) 293-6825.

What is Jackson Hospital & Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jackson Hospital & Clinic, Inc. enrolled in Medicare?

Yes. Jackson Hospital & Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Hospital & Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 247 clinicians in 26 Medicare specialties reassign their Medicare billing to Jackson Hospital & Clinic, Inc.. 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, 57 practice at this address and 167 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 Hospital & Clinic, Inc. was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.