JACKSON HOSPITAL & CLINIC, INC.
NPI 1720599012
Otolaryngology in Montgomery, AL

Q: What is Jackson Hospital & Clinic, Inc.'s NPI number?

The NPI number for Jackson Hospital & Clinic, Inc. is 1720599012. It was assigned to this organization in the NPPES registry on October 13, 2017. The provider is doing business as Jackson Clinic Otolaryngology.

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

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since October 13, 2017

1111 OLIVE ST, MONTGOMERY, AL 36106(334) 834-7221(334) 241-9848 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Jun 16, 2018, Oct 13, 2017 (3 updates tracked since 2017).

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About Jackson Hospital & Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON HOSPITAL & CLINIC, INC. (NPI 1720599012), doing business as Jackson Clinic Otolaryngology, is a healthcare organization registered as an otolaryngology in Montgomery, Alabama and active in the NPI registry since October 2017. The organization lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720599012

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameJACKSON HOSPITAL & CLINIC, INC.

Location Address1111 OLIVE STMontgomery, AL 36106-1129

Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 293-8738

Phone(334) 834-7221

Fax(334) 241-9848

Organization SubpartNo

Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335

Enumeration DateOctober 13, 2017

Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1720599012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1111 OLIVE ST, Montgomery, AL 36106

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Other Names 1

Doing Business AsJackson Clinic Otolaryngology

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

Other Providers at the Same Location NPPES 5

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

ANDREW HUNTER FORD MD

Otolaryngology