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JACKSON HOSPITAL AND CLINIC, INC
NPI 1376115246
Internal Medicine - Endocrinology, Diabetes & Metabolism in Montgomery, AL

Active since July 12, 2021CLIA Certified · 2 labs
1801 PINE ST STE 202, MONTGOMERY, AL 36106(334) 293-8877(334) 293-6803 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 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 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

NPI1376115246
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address1801 PINE ST STE 202Montgomery, AL 36106-1154
Mailing Address1722 Pine St Ste 203Montgomery, AL 36106-1158 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 293-8877
Fax(334) 293-6803
Organization SubpartNo
Authorized OfficialTara HerringRevenue Cycle Director · (334) 293-8736
Enumeration DateJuly 12, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1376115246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1801 PINE ST STE 202, Montgomery, AL 36106
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Other Names 1

Doing Business AsJackson Clinic Endocrinology Suite 202

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

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, AL
Active · expires Dec 21, 2026
CLIA Number01D2274049
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorElaina M. Adderley
Laboratory Phone(334) 293-8877
Laboratory LocationJackson Hospital And Clinic277 Huntress St, Wetumpka, AL 36093
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2246013

Jackson Hospital & Clinic, Inc · Montgomery, AL
Active · expires Dec 19, 2027
CLIA Number01D2246013
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorDr. Elaina Adderley
Laboratory Phone(334) 293-8877
Laboratory LocationJackson Hospital & Clinic, Inc1801 Pine Street Suite 204, Montgomery, AL 36106
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MOHAMMAD-EHSAN OWRANGI
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1801 PINE ST STE 202
MONTGOMERY, AL 36106
Montgomery County (412) 359-3166

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 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.

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.