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

NPI Status: Active since July 12, 2011

Contact Information

1722 PINE ST
SUITE 502
MONTGOMERY, AL
ZIP 36106
Phone: (334) 293-8588

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  • Organization
  • Urology

About JACKSON HOSPITAL AND CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Jackson Hospital And Clinic, Inc., a provider established in Montgomery, Alabama operating as a Urology. The healthcare provider is registered in the NPI registry with number 1760770754 assigned on July 2011. The practitioner's primary taxonomy code is 208800000X with license number MD.31014 (AL). The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Kelin Penney (Executive Director)

NPI
1760770754
Provider Legal Name
JACKSON HOSPITAL AND CLINIC, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1722 PINE ST SUITE 502 MONTGOMERY, AL 36106
Location Phone
(334) 293-8588
Mailing Address
1722 PINE ST STE 804 MONTGOMERY, AL 36106
Mailing Phone
(334) 293-8736
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2011
Last Update Date
03-09-2026
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
MD.31014
License State
AL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELIN PENNEY

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(334) 240-2335

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760770754, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 4 + 7 + 0 + 7 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760770754.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Otolaryngology
1722 PINE ST, SUITE 804
MONTGOMERY, AL 36106
Specialist
1722 PINE ST, SUITE 603
MONTGOMERY, AL 36106
Internal Medicine
1722 PINE ST, SUITE 309
MONTGOMERY, AL 36106
Radiology (Diagnostic Radiology)
1722 PINE ST, SUITE 201
MONTGOMERY, AL 36106
Internal Medicine
1722 PINE ST, SUITE 1005
MONTGOMERY, AL 36106
Internal Medicine (Pulmonary Disease)
1722 PINE ST, SUITE 406
MONTGOMERY, AL 36106
Urology
1722 PINE ST, SUITE 204
MONTGOMERY, AL 36106
Urology
1722 PINE ST, SUITE 1005
MONTGOMERY, AL 36106
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1722 PINE ST, SUITE 804
MONTGOMERY, AL 36106
Otolaryngology
1722 PINE ST, SUITE 804
MONTGOMERY, AL 36106
Otolaryngology
1722 PINE ST, SUITE 804
MONTGOMERY, AL 36106
Internal Medicine (Gastroenterology)
1722 PINE ST, SUITE 402
MONTGOMERY, AL 36106
Otolaryngology
1722 PINE ST, SUITE 804
MONTGOMERY, AL 36106
Otolaryngology
1722 PINE ST, SUITE 804
MONTGOMERY, AL 36106
Urology
1722 PINE ST, SUITE 502
MONTGOMERY, AL 36106
Pain Medicine (Interventional Pain Medicine)
1722 PINE ST, SUITE 704
MONTGOMERY, AL 36106
Surgery
1722 PINE ST, SUITE 902
MONTGOMERY, AL 36106
General Acute Care Hospital
1722 PINE ST, 11TH FLOOR
MONTGOMERY, AL 36106
Surgery
1722 PINE ST, STE 201
MONTGOMERY, AL 36106
Audiologist
1722 PINE ST, SUITE 804
MONTGOMERY, AL 36106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760770754, enumerated as an "organization" on July 12, 2011.

The provider is located at 1722 PINE ST SUITE 502 MONTGOMERY, AL 36106 and the phone number is (334) 293-8588.

Urology with taxonomy code 208800000X.