JACKSON FAMILY MEDICINE- PRATTVILLE
NPI 1720325889
Family Medicine in Prattville, AL
About Jackson Family Medicine- Prattville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON FAMILY MEDICINE- PRATTVILLE (NPI 1720325889) is a healthcare organization registered as a family medicine in Prattville, Alabama and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Tara C. Herring, Revenue Cycle Director, 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 Family Medicine- 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 Family Medicine- Prattville, which bills Medicare for the services they deliver. Of these, 15 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 01D2067749
Jackson Hospital & Clinic, Inc · Prattville, ALFrequently 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 1720325889. It was assigned to this organization in the NPPES registry on January 9, 2013. The provider is doing business as Jackson Family Medicine- Prattville.
Where is Jackson Hospital And Clinic, Inc. located?
Jackson Hospital And Clinic, Inc. is located at 701 Mcqueen Smith Rd S, Prattville, AL 36066. The listed phone number is (334) 351-2040.
What is Jackson Hospital And Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jackson Hospital And Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2067749) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jackson Hospital And Clinic, Inc. was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 Family Medicine- Prattville · NPI 1720325889
Family Medicine organization in Prattville, Alabama. Organization record, active in the CMS NPPES registry since January 9, 2013.
## Identity
- **NPI:** 1720325889 (Entity type: Organization)
- **Enumerated:** January 9, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Jackson Hospital And Clinic, Inc.
- **Organization subpart:** No
- **Authorized official:** Tara Herring, REVENUE CYCLE DIRECTOR
## Practice location
- **Address:** 701 MCQUEEN SMITH RD S, Prattville, AL 36066-7503
- **Phone:** (334) 351-2040 · **Fax:** (334) 351-2047
## 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); 15 practice within 10 miles; [full list](https://npiprofile.com/npi/1720325889/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720325889) · Data from the CMS NPPES public registry.