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JACKSON HOSPITAL AND CLINIC, INC
NPI 1598333668
Surgery - Plastic and Reconstructive Surgery in Montgomery, AL

Active since June 15, 2021
128 MITYLENE PARK LN, MONTGOMERY, AL 36117(334) 373-3611(334) 241-9848 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 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 1598333668), doing business as Alabama Plastic And Reconstructive Surgery, is a healthcare organization registered as a plastic and reconstructive surgery in Montgomery, Alabama and active in the NPI registry since June 2021. The organization lists Tara Herring, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1598333668
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address128 MITYLENE PARK LNMontgomery, AL 36117-3758
Mailing Address1722 Pine St Ste 203Montgomery, AL 36106-1158 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 373-3611
Fax(334) 241-9848
Organization SubpartNo
Authorized OfficialTara HerringRevenue Cycle Director · (334) 293-8736
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1598333668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
128 MITYLENE PARK LN, Montgomery, AL 36117
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Other Names 1

Doing Business AsAlabama Plastic And Reconstructive Surgery

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.

DR. LILIAN IFEOMA AKWUBA DNP
Nurse Practitioner (Adult Health)
128 MITYLENE PARK LN
MONTGOMERY, AL 36117
Montgomery County (334) 239-7020
PEDIATRICS AT TWILIGHT,LLC
Pediatrics
128 MITYLENE PARK LN
MONTGOMERY, AL 36117
Montgomery County (334) 220-7988

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 1598333668. It was assigned to this organization in the NPPES registry on June 15, 2021. The provider is doing business as Alabama Plastic and Reconstructive Surgery.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 128 Mitylene Park Ln, Montgomery, AL 36117. The listed phone number is (334) 373-3611.

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

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic, Inc was last updated on June 15, 2021. 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.