JACKSON CLINIC GASTROENTEROLOGY PRATTVILLE
NPI 1659879633
Internal Medicine - Gastroenterology in Prattville, AL
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Clinic Gastroenterology Prattville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
247Medicare enrollment records show 247 clinicians reassign Medicare billing to Jackson Clinic Gastroenterology Prattville, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 247Montgomery, AL 36112
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Jackson Hospital And Clinic, Inc enrolled in Medicare?
Yes. Jackson Hospital And Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Hospital And Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 247 clinicians in 26 Medicare specialties reassign their Medicare billing to Jackson Hospital And Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (86), Internal Medicine (39) and Family Practice (26). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Jackson Clinic Gastroenterology Prattville · NPI 1659879633
Gastroenterology organization in Prattville, Alabama. Organization record, active in the CMS NPPES registry since January 25, 2018.
## Identity
- **NPI:** 1659879633 (Entity type: Organization)
- **Enumerated:** January 25, 2018
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Legal business name:** Jackson Hospital And Clinic, Inc
- **Organization subpart:** No
- **Authorized official:** Kelin Penney, ADMINISTRATOR
## Practice location
- **Address:** 707 MCQUEEN SMITH RD S, Prattville, AL 36066-7503
- **Phone:** (334) 293-6825 · **Fax:** (334) 293-6826
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 247 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (86), Internal Medicine (39), Family Practice (26); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1659879633/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1659879633) · Data from the CMS NPPES public registry.