JACKSON HOSPITAL AND CLINIC, INC.
NPI 1497240998
Internal Medicine - Rheumatology in Montgomery, AL

Active since June 27, 2018
1722 PINE ST STE 405, MONTGOMERY, AL 36106(334) 293-6904(334) 293-6927 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, May 21, 2021, Jun 27, 2018 (3 updates tracked since 2018).

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 1497240998), doing business as Jackson Clinic Rheumatology, is a healthcare organization registered as a rheumatology in Montgomery, Alabama and active in the NPI registry since June 2018. The organization lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497240998
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC.
Location Address1722 PINE ST STE 405Montgomery, AL 36106-1159
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 293-8738
Fax(334) 293-6927
Organization SubpartNo
Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335
Enumeration DateJune 27, 2018
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1497240998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1722 PINE ST STE 405, Montgomery, AL 36106

Other Names 1

Doing Business AsJackson Clinic Rheumatology

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

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 1497240998. It was assigned to this organization in the NPPES registry on June 27, 2018. The provider is doing business as Jackson Clinic Rheumatology.

Where is Jackson Hospital And Clinic, Inc. located?

Jackson Hospital And Clinic, Inc. is located at 1722 Pine St Ste 405, Montgomery, AL 36106. The listed phone number is (334) 293-6904.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

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.