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JACKSON CLINIC CARDIOLOGY
NPI 1750742318
Internal Medicine - Cardiovascular Disease in Prattville, AL

Active since March 10, 2016
707 MCQUEEN SMITH RD S, PRATTVILLE, AL 36066(334) 264-9191(334) 264-9199 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 16, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Jackson Clinic Cardiology NPPES

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

JACKSON CLINIC CARDIOLOGY (NPI 1750742318) is a healthcare organization registered as a cardiovascular disease in Prattville, Alabama and active in the NPI registry since March 2016. The organization maintains a secondary practice location in Prattville and lists Kelin Penney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750742318
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC
Location Address707 MCQUEEN SMITH RD SPrattville, AL 36066-7503
Mailing Address1722 Pine St, Suite 503Montgomery, AL 36106-1103 · (334) 240-2337 · Fax (334) 293-6859
Phone(334) 264-9191
Fax(334) 264-9199
Organization SubpartNo
Authorized OfficialKelin PenneyAdministrator · (334) 240-2335
Enumeration DateMarch 10, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1750742318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
707 MCQUEEN SMITH RD S, Prattville, AL 36066
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Other Names 1

Doing Business AsJackson Clinic Cardiology

Secondary Practice Location 1

Location 1645 McQueen Smith Rd N, Suite 108Prattville, AL 36066-7268 · Phone (334) 264-9191 · Fax (334) 264-9199

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

Other Providers at the Same Location NPPES

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

JACKSON HOSPITAL AND CLINIC, INC
Internal Medicine (Gastroenterology)
707 MCQUEEN SMITH RD S
PRATTVILLE, AL 36066
Autauga County (334) 293-6825

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 1750742318. It was assigned to this organization in the NPPES registry on March 10, 2016. The provider is doing business as Jackson Clinic Cardiology.

Where is Jackson Hospital And Clinic Inc located?

Jackson Hospital And Clinic Inc is located at 707 Mcqueen Smith Rd S, Prattville, AL 36066. The listed phone number is (334) 264-9191.

What is Jackson Hospital And Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.