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: August 16, 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
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

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

Other Providers at the Same Location NPPES

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

Specialist
44 MEDICAL ARTS CT, SUITE #1
GREENVILLE, AL 36037

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.

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 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.