1. Home
  2. Directory
  3. Alabama
  4. Greenville
  5. Surgery
  6. NPI Profile

JACKSON VASCULAR SURGERY GREENVILLE
NPI 1740657683
Surgery - Vascular Surgery in Greenville, AL

Active since August 26, 2015
44 MEDICAL ARTS CT, GREENVILLE, AL 36037(334) 293-8922(334) 293-6820 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jackson Vascular Surgery Greenville NPPES

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

JACKSON VASCULAR SURGERY GREENVILLE (NPI 1740657683) is a healthcare organization registered as a vascular surgery in Greenville, Alabama and active in the NPI registry since August 2015. The organization lists Kelin Penney, Administrator Jackson Clinic, as its authorized official.

NPPES Registry Identity

NPI1740657683
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC
Location Address44 MEDICAL ARTS CTGreenville, AL 36037-3869
Mailing Address1722 Pine St, Suite 503Montgomery, AL 36106-1103 · (334) 240-2337 · Fax (334) 293-6859
Phone(334) 293-8922
Fax(334) 293-6820
Organization SubpartNo
Authorized OfficialKelin PenneyAdministrator Jackson Clinic · (334) 240-2335
Enumeration DateAugust 26, 2015
✔ NPI 1740657683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
44 MEDICAL ARTS CT, Greenville, AL 36037
Open in Google Maps ↗

Other Names 1

Doing Business AsJackson Vascular Surgery Greenville

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 Vascular Surgery Greenville 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 Vascular Surgery Greenville, which bills Medicare for the services they deliver. Of these, 4 practice 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
Kristopher Adams, CRNP
Nurse Practitioner
NPI 1881036473
300 N COLLEGE ST
Greenville, AL 36037
(334) 382-2681
✔ PECOS✔ Accepts Medicare1.0 mi
Audrey Hodge, MD
Family Practice
NPI 1437324613
29 L V STABLER DR
Greenville, AL 36037
(334) 382-2671
✔ PECOS1.5 mi
Jessica Campbell, CRNP
Nurse Practitioner
NPI 1144468851
321 GREENVILLE BYP STE 4
Greenville, AL 36037
(334) 456-0193
✔ PECOS✔ Accepts Medicare1.5 mi
Jennifer Coker, CRNP
Nurse Practitioner
NPI 1760928808
101 PAUL STABLER DR
Greenville, AL 36037
(334) 382-0734
✔ PECOS✔ Accepts Medicare1.6 mi
Muhammad Akbar, MD
Family Practice
NPI 1801994983
125 CHURCH STREET
Georgiana, AL 36033
(334) 376-2291
✔ PECOS✔ Accepts Medicare14 mi
Tijil Agarwal
Neurology
NPI 1104231257
2065 E SOUTH BLVD STE 201
Montgomery, AL 36116
(334) 747-7250
✔ PECOS✔ Accepts Medicare39 mi
Timothy Morrow, M.D.
Urology
NPI 1558331868
2055 E SOUTH BLVD SUITE 802
Montgomery, AL 36116
(334) 281-7666
✔ PECOS39 mi
Richard Sample, MD
Emergency Medicine
NPI 1497713200
4371 NARROW LANE RD
Montgomery, AL 36116
(334) 613-3680
✔ PECOS✔ Accepts Medicare40 mi
Tamjeed Arshad, M.D.
Cardiovascular Disease (Cardiology)
NPI 1568492544
2055 EAST SOUTH BLVD SUITE 403
Montgomery, AL 36116
(334) 613-0807
✔ PECOS✔ Accepts Medicare41 mi
Mihir Pradhan, M.D.
Family Practice
NPI 1043401821
2105 E SOUTH BLVD BAPTIST MEDICAL CENTER SOUTH
Montgomery, AL 36116
(334) 286-2987
✔ PECOS✔ Accepts Medicare41 mi
Yao Peng, MD
Hospitalist
NPI 1831669530
2055 E SOUTH BLVD STE 202
Montgomery, AL 36116
(334) 747-7575
✔ PECOS✔ Accepts Medicare41 mi
Kaysie Bronson, CRNP
Nurse Practitioner
NPI 1619495173
2105 E SOUTH BLVD
Montgomery, AL 36116
(334) 288-2100
✔ PECOS✔ Accepts Medicare41 mi
Lisa Williams, M.D.
Pulmonary Disease
NPI 1073543617
1440 NARROW LANE PKWY
Montgomery, AL 36111
(334) 281-4140
✔ PECOS✔ Accepts Medicare41 mi
William Saliski, D.O.
Internal Medicine
NPI 1720048523
1440 NARROW LANE PKWY
Montgomery, AL 36111
(334) 281-4140
✔ PECOS✔ Accepts Medicare41 mi
Paul Vincent Co, MD
Gastroenterology
NPI 1992069348
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts Medicare43 mi
Hajrunisa Cubro, MD
Obstetrics/Gynecology
NPI 1649730136
1725 PINE ST
Montgomery, AL 36106
(334) 293-8000
✔ PECOS✔ Accepts Medicare43 mi
Jad Chamieh, MD
General Surgery
NPI 1285084087
1725 PINE ST STE 201
Montgomery, AL 36106
(334) 293-6858
✔ PECOS43 mi
Pranav Garlapati, MD
Pediatric Medicine
NPI 1003269937
1725 PINE ST
Montgomery, AL 36106
(850) 376-4584
✔ PECOS43 mi
Gregory Borg, M.D.
Otolaryngology
NPI 1487761391
1722 PINE ST SUITE 804
Montgomery, AL 36106
(334) 834-7221
✔ PECOS✔ Accepts Medicare43 mi
Ishwarlal Bhuta, MD
Vascular Surgery
NPI 1598823122
1722 PINE STREET SUITE 801
Montgomery, AL 36106
(334) 263-1026
✔ PECOS43 mi
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 1740657683. It was assigned to this organization in the NPPES registry on August 26, 2015. The provider is doing business as Jackson Vascular Surgery Greenville.

Where is Jackson Hospital And Clinic Inc located?

Jackson Hospital And Clinic Inc is located at 44 Medical Arts Ct, Greenville, AL 36037. The listed phone number is (334) 293-8922.

What is Jackson Hospital And Clinic Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

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, 4 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 August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.