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JACKSON CLINIC CARDIOLOGY
NPI 1811350390
Internal Medicine - Cardiovascular Disease in Prattville, AL

Active since April 01, 2016
124 S MEMORIAL DR, PRATTVILLE, AL 36067(334) 264-9191(334) 264-9199 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jackson Clinic Cardiology NPPES

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

JACKSON CLINIC CARDIOLOGY (NPI 1811350390) is a healthcare organization registered as a cardiovascular disease in Prattville, Alabama and active in the NPI registry since April 2016. The organization lists Kelin Penney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811350390
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC.
Location Address124 S MEMORIAL DRPrattville, AL 36067-3619
Mailing Address1722 Pine St, Suite 503Montgomery, AL 36106-1103 · (334) 293-8736 · Fax (334) 293-6859
Phone(334) 264-9191
Fax(334) 264-9199
Organization SubpartNo
Authorized OfficialKelin PenneyAdministrator · (334) 240-2335
Enumeration DateApril 1, 2016
Last NPPES UpdateApril 7, 2016
✔ NPI 1811350390 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.
124 S MEMORIAL DR, Prattville, AL 36067
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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

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.

SHANE DAVID KARPOWICZ
Registered Nurse
124 S MEMORIAL DR
PRATTVILLE, AL 36067
Autauga County (334) 365-0651
MRS. MUNAZZAH ABDULLAH MD
Family Medicine (Adult Medicine)
124 S MEMORIAL DR
PRATTVILLE, AL 36067
Autauga County (334) 365-0651
ESKARA PERVEZ M.D.
Internal Medicine
124 S MEMORIAL DR
PRATTVILLE, AL 36067
Autauga County (217) 685-7831
ALABAMA EMERGENCY ROOM ADMINISTRATIVE SERVICES
Emergency Medicine
124 S MEMORIAL DR
PRATTVILLE, AL 36067
Autauga County (334) 365-0651
DR. TIMOTHY D BODE M.D.
Family Medicine
124 S MEMORIAL DR
PRATTVILLE, AL 36067
Autauga County (334) 613-3680
KHALID RASHEED M.D
Internal Medicine
124 S MEMORIAL DR
PRATTVILLE, AL 36067
Autauga County (334) 361-4334
KESCHARNAE DRAKEFORD
Nurse Practitioner (Family)
124 S MEMORIAL DR
PRATTVILLE, AL 36067
Autauga County (334) 365-0651
WILLOUGHBY ANESTHESIA, P.C.
Anesthesiology
124 S MEMORIAL DR
PRATTVILLE, AL 36067
Autauga County (334) 365-0651

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 1811350390. It was assigned to this organization in the NPPES registry on April 1, 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 124 S Memorial Dr, Prattville, AL 36067. 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 April 7, 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.