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JACKSON HOSPITAL AND CLINIC, INC
NPI 1497362172
Family Medicine in Montgomery, AL

Active since September 28, 2020
4035 ATLANTA HWY, MONTGOMERY, AL 36109(334) 603-8708(334) 603-8709 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 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 1497362172), doing business as Jackson Family Medicine Dalraida, is a healthcare organization registered as a family medicine in Montgomery, Alabama and active in the NPI registry since September 2020. The organization lists Tara Herring, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1497362172
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address4035 ATLANTA HWYMontgomery, AL 36109-2920
Mailing Address1722 Pine St Ste 203Montgomery, AL 36106-1158 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 603-8708
Fax(334) 603-8709
Organization SubpartNo
Authorized OfficialTara HerringRevenue Cycle Director · (334) 240-2337
Enumeration DateSeptember 28, 2020
NPPES CertifiedSeptember 28, 2020
✔ NPI 1497362172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4035 ATLANTA HWY, Montgomery, AL 36109
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Other Names 1

Doing Business AsJackson Family Medicine Dalraida

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

Other Providers at the Same Location NPPES 2

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

PRI MED PHYSICIANS, INC
Family Medicine
4035 ATLANTA HWY
MONTGOMERY, AL 36109
Montgomery County (334) 323-4000
SYED AHMED
Family Medicine
4035 ATLANTA HWY
MONTGOMERY, AL 36109
Montgomery County (334) 603-8708

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 1497362172. It was assigned to this organization in the NPPES registry on September 28, 2020. The provider is doing business as Jackson Family Medicine Dalraida.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 4035 Atlanta Hwy, Montgomery, AL 36109. The listed phone number is (334) 603-8708.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic, Inc was last updated on September 28, 2020. 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.