JACKSON FAMILY MEDICINE- PRATTVILLE
NPI 1720325889
Family Medicine in Prattville, AL

Q: 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.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 09, 2013CLIA 01D2067749 · Waiver

701 MCQUEEN SMITH RD S, PRATTVILLE, AL 36066(334) 351-2040(334) 351-2047 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2016, Feb 9, 2016 (2 updates tracked since 2016).

On this page

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

NPI1720325889

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameJACKSON HOSPITAL AND CLINIC, INC.

Location Address701 MCQUEEN SMITH RD SPrattville, AL 36066-7503

Mailing Address1722 Pine St, Ste 503Montgomery, AL 36106-1103

Phone(334) 351-2040

Fax(334) 351-2047

Organization SubpartNo

Authorized OfficialTara C. HerringRevenue Cycle Director · (334) 240-2337

Enumeration DateJanuary 9, 2013

Last NPPES UpdateMarch 24, 20162 updates tracked since enumeration

✔ NPI 1720325889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

701 MCQUEEN SMITH RD S, Prattville, AL 36066

Open in Google Maps ↗

Other Names 1

Doing Business AsJackson Family Medicine- 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

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, AL

Active · expires Oct 21, 2027

CLIA Number01D2067749

Laboratory TypePhysician Office

Certificate Effective DateOctober 22, 2025

Certificate Expiration DateOctober 21, 2027

Laboratory DirectorDr. Jade Hoy

Laboratory Phone(334) 351-2040

Laboratory LocationJackson Hospital & Clinic, Inc701 Mcqueen Smith Road S, Prattville, AL 36066

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETRUNIC ORTHODONTICS

Dentist (Orthodontics and Dentofacial Orthopedics)

701 MCQUEEN SMITH RD S
PRATTVILLE, AL 36066

Autauga County (334) 365-2909

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 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.

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.