JACKSON HOSPITAL AND CLINIC INC
NPI 1407300304
Surgery in Montgomery, AL

Active since August 09, 2016
1722 PINE ST, SUITE 904, MONTGOMERY, AL 36106(334) 265-9225(334) 265-9257 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2026, Aug 9, 2016 (2 updates tracked since 2016).

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 1407300304), doing business as Jackson General Surgery Dr. Wesley Barry, is a healthcare organization registered as a surgery in Montgomery, Alabama and active in the NPI registry since August 2016. The organization lists Kelin Penney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407300304
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC
Location Address1722 PINE ST, SUITE 904Montgomery, AL 36106-1103
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 240-2337 · Fax (334) 293-6859
Fax(334) 265-9257
Organization SubpartNo
Authorized OfficialKelin PenneyAdministrator · (334) 240-2335
Enumeration DateAugust 9, 2016
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1407300304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · MD.11082
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1722 PINE ST, Montgomery, AL 36106

Other Names 1

Doing Business AsJackson General Surgery Dr. Wesley Barry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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, 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
Nurse Practitioner
NPI 1750869814
1722 PINE ST STE 406
Montgomery, AL 36106
(334) 293-6741
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1831189158
1722 PINE ST STE 502
Montgomery, AL 36106
(334) 293-8588
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1316106164
1722 PINE ST STE 503
Montgomery, AL 36106
(334) 293-8271
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1477662617
1722 PINE STREET SUITE 904
Montgomery, AL 36106
(334) 265-9225
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1598823122
1722 PINE STREET SUITE 801
Montgomery, AL 36106
(334) 263-1026
✔ PECOSSame address
Gastroenterology
NPI 1932263993
1722 PINE ST STE 204
Montgomery, AL 36106
(334) 293-6825
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1033467196
1722 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1053303602
1722 PINE ST STE 500
Montgomery, AL 36106
(334) 264-9500
✔ PECOSSame address
Nurse Practitioner
NPI 1871931832
1722 PINE ST STE 204
Montgomery, AL 36106
(334) 293-6825
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1073043279
1722 PINE ST
Montgomery, AL 36106
(334) 293-6825
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1588186142
1722 PINE ST
Montgomery, AL 36106
(334) 293-8588
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1780733220
1722 PINE ST STE 503
Montgomery, AL 36106
(334) 264-8741
✔ PECOSSame address
Internal Medicine
NPI 1124019781
1722 PINE ST SUITE 309
Montgomery, AL 36106
(334) 262-0342
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1487761391
1722 PINE ST SUITE 804
Montgomery, AL 36106
(334) 834-7221
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1336256601
1722 PINE ST SUITE 804
Montgomery, AL 36106
(334) 834-7221
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1790770238
1722 PINE ST SUITE 603
Montgomery, AL 36106
(334) 264-2422
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1649730136
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1669902375
1725 PINE ST
Montgomery, AL 36106
(334) 293-4040
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1336119015
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
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 And Clinic Inc's NPI number?

The NPI number for Jackson Hospital And Clinic Inc is 1407300304. It was assigned to this organization in the NPPES registry on August 9, 2016. The provider is doing business as Jackson General Surgery Dr. Wesley Barry.

Where is Jackson Hospital And Clinic Inc located?

Jackson Hospital And Clinic Inc is located at 1722 Pine St Suite 904, Montgomery, AL 36106. The listed phone number is (334) 265-9225.

What is Jackson Hospital And Clinic Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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, 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 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.