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JACKSON HOSPITAL AND CLINIC INC
NPI 1407387848
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Montgomery, AL

Active since March 27, 2017
1758 PARK PL, SUITE 202, MONTGOMERY, AL 36106(334) 264-7156(334) 264-7681 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Mar 27, 2017 (2 updates tracked since 2017).

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 1407387848), doing business as Jackson Clinic Cardiothoracic Surgery, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Montgomery, Alabama and active in the NPI registry since March 2017. The organization lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407387848
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC
Location Address1758 PARK PL, SUITE 202Montgomery, AL 36106-1127
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 264-7156
Fax(334) 264-7681
Organization SubpartNo
Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335
Enumeration DateMarch 27, 2017
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1407387848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1758 PARK PL, Montgomery, AL 36106
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Other Names 1

Doing Business AsJackson Clinic Cardiothoracic Surgery

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

Other Providers at the Same Location NPPES 19

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

SOUTHEAST CANCER NETWORK, INC
Internal Medicine (Hematology & Oncology)
1758 PARK PL, SUITE 301
MONTGOMERY, AL 36106
Montgomery County (205) 366-9740
STEWART H TANKERSLEY, MD, LLC
Clinic/Center
1758 PARK PL, SUITE 200
MONTGOMERY, AL 36106
Montgomery County (334) 538-9695
MR. WES HOLLAND C.PED.
Orthotist
1758 PARK PL, SUITE 300
MONTGOMERY, AL 36106
Montgomery County (334) 538-7696
CAPITAL CARDIOTHORACIC, PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1758 PARK PL, SUITE 202
MONTGOMERY, AL 36106
Montgomery County (334) 264-7156
DR. DAVID LAWRENCE KOURI M.D.
Legal Medicine
1758 PARK PL, SUITE 201
MONTGOMERY, AL 36106
Montgomery County (334) 263-3630
JACKSON HOSPITAL AND CLINIC INC.
Internal Medicine (Cardiovascular Disease)
1758 PARK PL, SUITE 402
MONTGOMERY, AL 36106
Montgomery County (334) 293-6842
LATOYA SHANTEL CLARK MD
Obstetrics & Gynecology
1758 PARK PL, SUITE 406
MONTGOMERY, AL 36106
Montgomery County (251) 716-4744
JOHN A PORTER MD PC
Obstetrics & Gynecology (Gynecology)
1758 PARK PL, SUITE 406
MONTGOMERY, AL 36106
Montgomery County (334) 284-1500

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 1407387848. It was assigned to this organization in the NPPES registry on March 27, 2017. The provider is doing business as Jackson Clinic Cardiothoracic Surgery.

Where is Jackson Hospital And Clinic Inc located?

Jackson Hospital And Clinic Inc is located at 1758 Park Pl Suite 202, Montgomery, AL 36106. The listed phone number is (334) 264-7156.

What is Jackson Hospital And Clinic Inc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

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 4 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.