1. Home
  2. Directory
  3. Alabama
  4. Wetumpka
  5. Internal Medicine
  6. NPI Profile

JACKSON CLINIC CARDIOLOGY
NPI 1770944340
Internal Medicine - Cardiovascular Disease in Wetumpka, AL

Active since March 10, 2016
74238 TALLASSEE HWY, WETUMPKA, AL 36092(334) 264-9191(334) 264-9199 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jackson Clinic Cardiology NPPES

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

JACKSON CLINIC CARDIOLOGY (NPI 1770944340) is a healthcare organization registered as a cardiovascular disease in Wetumpka, Alabama and active in the NPI registry since March 2016. The organization lists Kelin Penney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1770944340
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address74238 TALLASSEE HWYWetumpka, AL 36092-5504
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
✔ NPI 1770944340 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.
74238 TALLASSEE HWY, Wetumpka, AL 36092
Open in Google Maps ↗

Other Names 1

Doing Business AsJackson Clinic Cardiology

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

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 1770944340. 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 74238 Tallassee Hwy, Wetumpka, AL 36092. 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 March 10, 2016. 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.