JACKSON HOSPITAL AND CLINIC, INC
NPI 1376115246
Internal Medicine - Endocrinology, Diabetes & Metabolism in Montgomery, AL
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 1376115246), doing business as Jackson Clinic Endocrinology Suite 202, is a healthcare organization registered as an endocrinology, diabetes & metabolism in Montgomery, Alabama and active in the NPI registry since July 2021. The organization holds 2 active CLIA laboratory certificates and lists Tara Herring, Revenue Cycle Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Hospital And Clinic, Inc 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 Hospital And Clinic, Inc, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 167 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.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 01D2274049
Jackson Hospital And Clinic · Wetumpka, ALCertificate of Waiver 01D2246013
Jackson Hospital & Clinic, Inc · Montgomery, ALFrequently 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 1376115246. It was assigned to this organization in the NPPES registry on July 12, 2021. The provider is doing business as Jackson Clinic Endocrinology Suite 202.
Where is Jackson Hospital And Clinic, Inc located?
Jackson Hospital And Clinic, Inc is located at 1801 Pine St Ste 202, Montgomery, AL 36106. The listed phone number is (334) 293-8877.
What is Jackson Hospital And Clinic, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
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, 14 practice at this address and 167 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jackson Hospital And Clinic, Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Jackson Hospital And Clinic, Inc was last updated on July 12, 2021. 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.
# Jackson Hospital And Clinic, Inc · NPI 1376115246
Endocrinology, Diabetes & Metabolism organization in Montgomery, Alabama. Organization record, active in the CMS NPPES registry since July 12, 2021.
## Identity
- **NPI:** 1376115246 (Entity type: Organization)
- **Enumerated:** July 12, 2021
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Also known as:** Jackson Clinic Endocrinology Suite 202 (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tara Herring, REVENUE CYCLE DIRECTOR
## Practice location
- **Address:** 1801 PINE ST STE 202, Montgomery, AL 36106-1154
- **Phone:** (334) 293-8877 · **Fax:** (334) 293-6803
## 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); 14 practice at this address and 167 within 10 miles; [full list](https://npiprofile.com/npi/1376115246/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2021
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376115246) · Data from the CMS NPPES public registry.