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JACKSON HOSPITAL AND CLINIC, INC
NPI 1508533506
Family Medicine in Pike Road, AL

Active since August 26, 2021CLIA 01D2247871 · Waiver
9521 VAUGHN RD, PIKE ROAD, AL 36064(334) 293-8736 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Aug 26, 2021 (2 updates tracked since 2021).

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 1508533506), doing business as Jackson Pike Road Urgent Care, is a healthcare organization registered as a family medicine in Pike Road, Alabama and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508533506
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address9521 VAUGHN RDPike Road, AL 36064-2292
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 293-8736
Organization SubpartNo
Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335
Enumeration DateAugust 26, 2021
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1508533506 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.
9521 VAUGHN RD, Pike Road, AL 36064
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Other Names 1

Doing Business AsJackson Pike Road Urgent 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2247871

Jackson Hospital And Clinic · Pike Road, AL
Active · expires Sep 30, 2027
CLIA Number01D2247871
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorChristopher Waguespack
Laboratory Phone(334) 523-6047
Laboratory LocationJackson Hospital And Clinic9521 Vaughn Road, Pike Road, AL 36064
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARIA ELIZABETH SILVA PA
Physician Assistant
9521 VAUGHN RD
PIKE ROAD, AL 36064
Montgomery County (334) 523-6047

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 1508533506. It was assigned to this organization in the NPPES registry on August 26, 2021. The provider is doing business as Jackson Pike Road Urgent Care.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 9521 Vaughn Rd, Pike Road, AL 36064. The listed phone number is (334) 293-8736.

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

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

Does Jackson Hospital And Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2247871) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 5 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.