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JACKSON CLINIC GASTROENTEROLOGY PRATTVILLE
NPI 1659879633
Internal Medicine - Gastroenterology in Prattville, AL

Active since January 25, 2018
707 MCQUEEN SMITH RD S, PRATTVILLE, AL 36066(334) 293-6825(334) 293-6826 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Clinic Gastroenterology Prattville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON CLINIC GASTROENTEROLOGY PRATTVILLE (NPI 1659879633) is a healthcare organization registered as a gastroenterology in Prattville, Alabama and active in the NPI registry since January 2018. The organization lists Kelin Penney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659879633
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address707 MCQUEEN SMITH RD SPrattville, AL 36066-7503
Mailing Address1722 Pine St Ste 503Montgomery, AL 36106-1160 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 293-6825
Fax(334) 293-6826
Organization SubpartNo
Authorized OfficialKelin PenneyAdministrator · (334) 240-2335
Enumeration DateJanuary 25, 2018
✔ NPI 1659879633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
707 MCQUEEN SMITH RD S, Prattville, AL 36066
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Other Names 1

Other NameJackson Clinic Gastroenterology Prattville

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.

JACKSON HOSPITAL AND CLINIC INC
Internal Medicine (Cardiovascular Disease)
707 MCQUEEN SMITH RD S
PRATTVILLE, AL 36066
Autauga County (334) 264-9191

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 1659879633. It was assigned to this organization in the NPPES registry on January 25, 2018. The provider is also known as Jackson Clinic Gastroenterology Prattville.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 707 Mcqueen Smith Rd S, Prattville, AL 36066. The listed phone number is (334) 293-6825.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic, Inc was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.