JACKSON FAMILY MEDICINE PIKE ROAD
NPI 1861827297
Family Medicine in Pike Road, AL
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackson Family Medicine Pike Road is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
247Medicare enrollment records show 247 clinicians reassign Medicare billing to Jackson Family Medicine Pike Road, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 161 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 247Pike Road, AL 36064
Pike Road, AL 36064
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Jackson Hospital And Clinic, Inc enrolled in Medicare?
Yes. Jackson Hospital And Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jackson Hospital And Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 247 clinicians in 26 Medicare specialties reassign their Medicare billing to Jackson Hospital And Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (86), Internal Medicine (39) and Family Practice (26). Of these, 2 practice at this address and 161 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jackson Family Medicine Pike Road · NPI 1861827297
Family Medicine organization in Pike Road, Alabama. Organization record, active in the CMS NPPES registry since September 4, 2013.
## Identity
- **NPI:** 1861827297 (Entity type: Organization)
- **Enumerated:** September 4, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Jackson Hospital And Clinic, Inc
- **Organization subpart:** No
- **Authorized official:** Kelin Penney, ADMINISTRATOR
## Practice location
- **Address:** 11123 CHANTILLY PKWY CT, STE M, Pike Road, AL 36064-2880
- **Phone:** (334) 293-8888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 247 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (86), Internal Medicine (39), Family Practice (26); 2 practice at this address and 161 within 10 miles; [full list](https://npiprofile.com/npi/1861827297/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1861827297) · Data from the CMS NPPES public registry.