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JACKSON HOSPITAL AND CLINIC, INC
NPI 1326750084
Family Medicine in Montgomery, AL

Active since December 14, 2022
2024 CHESTNUT ST, MONTGOMERY, AL 36106(334) 293-8000 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, Dec 14, 2022 (2 updates tracked since 2022).

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 1326750084) is a healthcare organization registered as a family medicine in Montgomery, Alabama and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Montgomery and lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1326750084
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address2024 CHESTNUT STMontgomery, AL 36106-1111
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736
Phone(334) 293-8000
Organization SubpartNo
Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335
Enumeration DateDecember 14, 2022
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1326750084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2024 CHESTNUT ST, Montgomery, AL 36106
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Secondary Practice Location 1

Location 11725 Pine StMontgomery, AL 36106-1109 · Phone (334) 293-8000

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 And 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 And Clinic, Inc, which bills Medicare for the services they deliver. Of these, 7 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
Tehreem Khalid, MD
Family Practice
NPI 1225724206
2024 CHESTNUT ST
Montgomery, AL 36106
(334) 293-4008
✔ PECOSSame address
Paul Sheffield, MD
Family Practice
NPI 1093783672
2024 CHESTNUT ST
Montgomery, AL 36106
(334) 440-3061
✔ PECOS✔ Accepts MedicareSame address
Christopher Duggar, M.D.
Obstetrics/Gynecology
NPI 1982618633
2024 CHESTNUT ST
Montgomery, AL 36106
(334) 265-3543
✔ PECOSSame address
Melissa Hill, CRNP
Nurse Practitioner
NPI 1619794054
2034 CHESTNUT ST
Montgomery, AL 36106
(334) 269-0212
✔ PECOSSame address
John Jernigan, M.D.
Internal Medicine
NPI 1881635480
1301 MULBERRY ST
Montgomery, AL 36106
(334) 265-6153
✔ PECOS✔ Accepts MedicareSame address
Joel Mccloud, M.D.
Internal Medicine
NPI 1801836457
1301 MULBERRY ST
Montgomery, AL 36106
(334) 265-6153
✔ PECOS✔ Accepts MedicareSame address
Norman Taylor, M.D.
Internal Medicine
NPI 1811937469
1301 MULBERRY ST
Montgomery, AL 36106
(334) 265-6153
✔ PECOS✔ Accepts MedicareSame address
Irwin White-Gittens, M.D.
Vascular Surgery
NPI 1144635418
2104 CHESTNUT ST
Montgomery, AL 36106
(334) 801-9952
✔ PECOS✔ Accepts MedicareSame address
Elaina Adderley, MD
Endocrinology
NPI 1699220988
1801 PINE STREET, SUITE 204 THE JACKSON CLINIC
Montgomery, AL 36106
(334) 293-8877
✔ PECOS✔ Accepts Medicare0.1 mi
Max Capouano, MD
Family Practice
NPI 1811416050
1801 PINE ST STE 301
Montgomery, AL 36106
(334) 265-5577
✔ PECOS✔ Accepts Medicare0.1 mi
Gary Harmon, M.D.
General Surgery
NPI 1245209303
1801 PINE ST STE 101
Montgomery, AL 36106
(334) 293-8138
✔ PECOS✔ Accepts Medicare0.1 mi
Julie Jenkins, CRNP
Nurse Practitioner
NPI 1194178772
1801 PINE ST SUITE 203
Montgomery, AL 36106
(334) 293-8877
✔ PECOS✔ Accepts Medicare0.1 mi
Shamsuddin Lalani, M.D.
Internal Medicine
NPI 1578853594
1801 PINE STREET
Montgomery, AL 36106
(817) 706-2091
✔ PECOS✔ Accepts Medicare0.1 mi
Richard Salazar Montero, MD
Neurology
NPI 1245436955
1801 PINE ST SUITE 202
Montgomery, AL 36106
(334) 293-8082
✔ PECOS✔ Accepts Medicare0.1 mi
Gregory Borg, M.D.
Otolaryngology
NPI 1487761391
1722 PINE ST SUITE 804
Montgomery, AL 36106
(334) 834-7221
✔ PECOS✔ Accepts Medicare0.2 mi
Glenn Saucer, MD
Obstetrics/Gynecology
NPI 1790770238
1722 PINE ST SUITE 603
Montgomery, AL 36106
(334) 264-2422
✔ PECOS0.2 mi
Peter Shashy, MD
Urology
NPI 1477515971
1722 PINE ST SUITE 502
Montgomery, AL 36106
(334) 262-4418
✔ PECOS✔ Accepts Medicare0.2 mi
Ishwarlal Bhuta, MD
Vascular Surgery
NPI 1598823122
1722 PINE STREET SUITE 801
Montgomery, AL 36106
(334) 263-1026
✔ PECOS0.2 mi
Vijaya Boyella, MD
Gastroenterology
NPI 1932263993
1722 PINE ST STE 204
Montgomery, AL 36106
(334) 293-6825
✔ PECOS✔ Accepts Medicare0.2 mi
Jacquelin Chua, MD
Rheumatology
NPI 1033467196
1722 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts Medicare0.2 mi
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 And Clinic, Inc's NPI number?

The NPI number for Jackson Hospital And Clinic, Inc is 1326750084. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 2024 Chestnut St, Montgomery, AL 36106. The listed phone number is (334) 293-8000.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jackson Hospital And Clinic, Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Jackson Hospital And 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 And 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, 7 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 And 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.