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: July 19, 2026.

  • Organization
  • Internal Medicine
  • Gastroenterology

About JACKSON CLINIC GASTROENTEROLOGY PRATTVILLE

This page provides the complete NPI Profile along with additional information for Jackson Clinic Gastroenterology Prattville, an internist established in Prattville, Alabama operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1659879633 assigned on January 2018. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Jackson Clinic Gastroenterology Prattville operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Jackson Clinic Gastroenterology Prattville. The authorized official of this NPI record is Kelin Penney (Administrator)

NPI
1659879633 Verify this NPI
Provider Legal Name
JACKSON HOSPITAL AND CLINIC, INC
Other Organization Name
JACKSON CLINIC GASTROENTEROLOGY PRATTVILLE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
707 MCQUEEN SMITH RD S PRATTVILLE, AL 36066
Location Phone
(334) 293-6825
Location Fax
(334) 293-6826
Mailing Address
1722 PINE ST STE 503 MONTGOMERY, AL 36106
Mailing Phone
(334) 293-8736
Mailing Fax
(334) 293-8738
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2018
Last Update Date
01-25-2018
Code Navigator

An internist like Jackson Clinic Gastroenterology Prattville is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELIN PENNEY

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(334) 240-2335

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
707 MCQUEEN SMITH RD S
PRATTVILLE, AL 36066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659879633, enumerated as an "organization" on January 25, 2018.

The provider is located at 707 MCQUEEN SMITH RD S PRATTVILLE, AL 36066 and the phone number is (334) 293-6825.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.