JACKSON HOSPITAL AND CLINIC INC
NPI 1891156469
Internal Medicine - Cardiovascular Disease in Tallassee, AL

Active since March 10, 2016
115 HERREN HILL RD, TALLASSEE, AL 36078(334) 264-9191(334) 264-9199 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Mar 16, 2017 (2 updates tracked since 2017).

About Jackson Hospital And Clinic Inc NPPES

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

JACKSON HOSPITAL AND CLINIC INC (NPI 1891156469), doing business as Jackson Clinic Cardiology, is a healthcare organization registered as a cardiovascular disease in Tallassee, Alabama and active in the NPI registry since March 2016. The organization lists Kelin Penney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891156469
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC
Location Address115 HERREN HILL RDTallassee, AL 36078-1276
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 240-2337 · Fax (334) 293-6859
Fax(334) 264-9199
Organization SubpartNo
Authorized OfficialKelin PenneyAdministrator · (334) 240-2335
Enumeration DateMarch 10, 2016
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
NPI 1891156469 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.
115 HERREN HILL RD, Tallassee, AL 36078

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 8

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

Family Medicine
115 HERREN HILL RD
TALLASSEE, AL 36078
Family Medicine
115 HERREN HILL RD
TALLASSEE, AL 36078
Family Medicine
115 HERREN HILL RD
TALLASSEE, AL 36078
Specialist
115 HERREN HILL RD
TALLASSEE, AL 36078
Family Medicine
115 HERREN HILL RD
TALLASSEE, AL 36078
Hospitalist
115 HERREN HILL RD
TALLASSEE, AL 36078
Family Medicine
115 HERREN HILL RD
TALLASSEE, AL 36078
Nurse Practitioner (Adult Health)
115 HERREN HILL RD
TALLASSEE, AL 36078

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 1891156469. 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 115 Herren Hill Rd, Tallassee, AL 36078. 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 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.