JACKSON HOSPITAL AND CLINIC, INC.
NPI 1477171072
Internal Medicine in Prattville, AL

Active since July 09, 2020
204 MEDICAL CENTER DR, PRATTVILLE, AL 36066(334) 361-3090(334) 361-2090 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 30, 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 1477171072), doing business as Jackson Clinic Prattville Primary Care, is a healthcare organization registered as an internal medicine in Prattville, Alabama and active in the NPI registry since July 2020. The organization lists Tara Herring, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1477171072
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC.
Location Address204 MEDICAL CENTER DRPrattville, AL 36066-7288
Mailing Address1722 Pine St Ste 203Montgomery, AL 36106-1158 · (334) 293-8736 · Fax (334) 293-8738
Fax(334) 361-2090
Organization SubpartNo
Authorized OfficialTara HerringRevenue Cycle Director · (334) 293-8736
Enumeration DateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
NPI 1477171072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
204 MEDICAL CENTER DR, Prattville, AL 36066

Other Names 1

Doing Business AsJackson Clinic Prattville Primary Care

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

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

Nurse Practitioner (Family)
204 MEDICAL CENTER DR
PRATTVILLE, AL 36066

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 1477171072. It was assigned to this organization in the NPPES registry on July 9, 2020. The provider is doing business as Jackson Clinic Prattville Primary Care.

Where is Jackson Hospital And Clinic, Inc. located?

Jackson Hospital And Clinic, Inc. is located at 204 Medical Center Dr, Prattville, AL 36066. The listed phone number is (334) 361-3090.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic, Inc. was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.