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JACKSON FAMILY MEDICINE PIKE ROAD
NPI 1861827297
Family Medicine in Pike Road, AL

Active since September 04, 2013
11123 CHANTILLY PKWY CT, STE M, PIKE ROAD, AL 36064(334) 293-8888 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Family Medicine Pike Road NPPES

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

JACKSON FAMILY MEDICINE PIKE ROAD (NPI 1861827297) is a healthcare organization registered as a family medicine in Pike Road, Alabama and active in the NPI registry since September 2013. The organization lists Kelin Penney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861827297
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address11123 CHANTILLY PKWY CT, STE MPike Road, AL 36064-2880
Mailing Address1722 Pine St, Ste 503Montgomery, AL 36106-1103 · (334) 293-8888
Phone(334) 293-8888
Organization SubpartNo
Authorized OfficialKelin PenneyAdministrator · (334) 240-2335
Enumeration DateSeptember 4, 2013
Last NPPES UpdateMay 21, 2019
✔ NPI 1861827297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11123 CHANTILLY PKWY CT, Pike Road, AL 36064
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Other Names 1

Doing Business AsJackson Family Medicine Pike Road

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 3

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

DR. JENNIFER MORGAN BILLINGSLEY RICHARDSON DMD
Dentist (General Practice)
11123 CHANTILLY PKWY CT, SUITE I
PIKE ROAD, AL 36064
Montgomery County (334) 270-7751
DESIGNER SMILES DENTAL STUDIO, P.C.
Clinic/Center (Dental)
11123 CHANTILLY PKWY CT, SUITE I
PIKE ROAD, AL 36064
Montgomery County (334) 270-7751
CHRISTOPHER JOSEPH WAGUESPACK D.O.
Family Medicine
11123 CHANTILLY PKWY CT, SUITE M
PIKE ROAD, AL 36064
Montgomery County (334) 832-2301

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 1861827297. It was assigned to this organization in the NPPES registry on September 4, 2013. The provider is doing business as Jackson Family Medicine Pike Road.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 11123 Chantilly Pkwy Ct Ste M, Pike Road, AL 36064. The listed phone number is (334) 293-8888.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jackson Hospital And Clinic, Inc was last updated on May 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.