JACKSON HOSPITAL AND CLINIC, INC.
NPI 1760770754
Urology in Montgomery, AL

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

The NPI number for Jackson Hospital And Clinic, Inc. is 1760770754. It was assigned to this organization in the NPPES registry on July 12, 2011. The provider is doing business as Jackson Clinic Urology.

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

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since July 12, 2011

1722 PINE ST, SUITE 502, MONTGOMERY, AL 36106(334) 293-8588 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, May 17, 2017 (3 updates tracked since 2017).

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About Jackson Hospital And Clinic, Inc. NPPES

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

JACKSON HOSPITAL AND CLINIC, INC. (NPI 1760770754), doing business as Jackson Clinic Urology, is a healthcare organization registered as an urology in Montgomery, Alabama and active in the NPI registry since July 2011. The organization lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760770754

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameJACKSON HOSPITAL AND CLINIC, INC.

Location Address1722 PINE ST, SUITE 502Montgomery, AL 36106-1103

Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 270-3195

Phone(334) 293-8588

Organization SubpartNo

Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335

Enumeration DateJuly 12, 2011

Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1760770754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in AL · MD.31014

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1722 PINE ST, Montgomery, AL 36106

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Other Names 1

Doing Business AsJackson Clinic Urology

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 20

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

JACQUELIN RATUNIL CHUA MD

Internal Medicine (Rheumatology)

1722 PINE ST
MONTGOMERY, AL 36106

Montgomery County (334) 293-8000

DR. WILLIAM GARY CUMBIE JR. MD

Internal Medicine (Hematology & Oncology)

1722 PINE ST, STE 500
MONTGOMERY, AL 36106

Montgomery County (334) 264-9500

JOHN E. HACKMAN, M.D.P.A.

Specialist

1722 PINE ST, SUITE 1001
MONTGOMERY, AL 36106

Montgomery County (334) 834-1663

MUHAMMAD HARIS MD

Internal Medicine (Gastroenterology)

1722 PINE ST
MONTGOMERY, AL 36106

Montgomery County (334) 293-6825

DR. ROGER WILLIAMS KEMP M.D.

Pain Medicine (Interventional Pain Medicine)

1722 PINE ST, SUITE 704
MONTGOMERY, AL 36106

Montgomery County (334) 264-3302

GLENN A YATES MD

Internal Medicine

1722 PINE ST, SUITE 309
MONTGOMERY, AL 36106

Montgomery County (334) 262-0342

SEDLAK SURGICAL ASSOCIATES PC

Surgery

1722 PINE ST, STE 201
MONTGOMERY, AL 36106

Montgomery County (334) 264-8741

JACKSON HOSPITAL AND CLINIC INC

Surgery

1722 PINE ST, STE 503
MONTGOMERY, AL 36106

Montgomery County (334) 239-8000

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 1760770754. It was assigned to this organization in the NPPES registry on July 12, 2011. The provider is doing business as Jackson Clinic Urology.

Where is Jackson Hospital And Clinic, Inc. located?

Jackson Hospital And Clinic, Inc. is located at 1722 Pine St Suite 502, Montgomery, AL 36106. The listed phone number is (334) 293-8588.

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

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic, Inc. was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.