JACKSON HOSPITAL AND CLINIC INC
NPI 1679946610
Neurological Surgery in Montgomery, AL

Active since November 12, 2015
1722 PINE ST STE 402, MONTGOMERY, AL 36106(334) 293-8082(334) 293-8088 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2026, Jun 22, 2021, Dec 7, 2015 and 1 more (4 updates tracked since 2015).

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 1679946610), doing business as Jackson Neurology, is a healthcare organization registered as a neurological surgery in Montgomery, Alabama and active in the NPI registry since November 2015. The organization lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679946610
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC
Location Address1722 PINE ST STE 402Montgomery, AL 36106-1159
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 293-8738
Fax(334) 293-8088
Organization SubpartNo
Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335
Enumeration DateNovember 12, 2015
Last NPPES UpdateMarch 9, 20264 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1679946610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1722 PINE ST STE 402, Montgomery, AL 36106

Other Names 1

Doing Business AsJackson Neurology

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

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 Hospital And Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

247

Medicare enrollment records show 247 clinicians reassign Medicare billing to Jackson Hospital And Clinic Inc, which bills Medicare for the services they deliver. Of these, 57 practice at this address and 167 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner86
Internal Medicine39
Family Practice26
Cardiovascular Disease (Cardiology)10
General Surgery9
Hospitalist8
Otolaryngology8
Urology7
18 other specialties54

Nearest to this location (20)

See all 247
Nurse Practitioner
NPI 1750869814
1722 PINE ST STE 406
Montgomery, AL 36106
(334) 293-6741
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1831189158
1722 PINE ST STE 502
Montgomery, AL 36106
(334) 293-8588
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1316106164
1722 PINE ST STE 503
Montgomery, AL 36106
(334) 293-8271
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1477662617
1722 PINE STREET SUITE 904
Montgomery, AL 36106
(334) 265-9225
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1598823122
1722 PINE STREET SUITE 801
Montgomery, AL 36106
(334) 263-1026
✔ PECOSSame address
Gastroenterology
NPI 1932263993
1722 PINE ST STE 204
Montgomery, AL 36106
(334) 293-6825
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1033467196
1722 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1053303602
1722 PINE ST STE 500
Montgomery, AL 36106
(334) 264-9500
✔ PECOSSame address
Nurse Practitioner
NPI 1871931832
1722 PINE ST STE 204
Montgomery, AL 36106
(334) 293-6825
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1073043279
1722 PINE ST
Montgomery, AL 36106
(334) 293-6825
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1588186142
1722 PINE ST
Montgomery, AL 36106
(334) 293-8588
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1780733220
1722 PINE ST STE 503
Montgomery, AL 36106
(334) 264-8741
✔ PECOSSame address
Internal Medicine
NPI 1124019781
1722 PINE ST SUITE 309
Montgomery, AL 36106
(334) 262-0342
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1487761391
1722 PINE ST SUITE 804
Montgomery, AL 36106
(334) 834-7221
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1336256601
1722 PINE ST SUITE 804
Montgomery, AL 36106
(334) 834-7221
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1790770238
1722 PINE ST SUITE 603
Montgomery, AL 36106
(334) 264-2422
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1649730136
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1669902375
1725 PINE ST
Montgomery, AL 36106
(334) 293-4040
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1336119015
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1003269937
1725 PINE ST
Montgomery, AL 36106
(850) 376-4584
✔ PECOSSame address
See all 247 clinicians

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 1679946610. It was assigned to this organization in the NPPES registry on November 12, 2015. The provider is doing business as Jackson Neurology.

Where is Jackson Hospital And Clinic Inc located?

Jackson Hospital And Clinic Inc is located at 1722 Pine St Ste 402, Montgomery, AL 36106. The listed phone number is (334) 293-8082.

What is Jackson Hospital And Clinic Inc's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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, 57 practice at this address and 167 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 March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.