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JACKSON HOSPITAL AND CLINIC INC
NPI 1912362773
Internal Medicine - Cardiovascular Disease in Montgomery, AL

Active since December 22, 2015
1758 PARK PL, SUITE 401, MONTGOMERY, AL 36106(334) 264-9191(334) 264-9821 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2026, Dec 22, 2015 (2 updates tracked since 2015).

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 1912362773), doing business as Jackson Clinic Cardiology, is a healthcare organization registered as a cardiovascular disease in Montgomery, Alabama and active in the NPI registry since December 2015. The organization lists Kelin Penney, Administrator, as its authorized official.

NPPES Registry Identity

NPI1912362773
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJACKSON HOSPITAL AND CLINIC INC
Location Address1758 PARK PL, SUITE 401Montgomery, AL 36106-1127
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 240-2337 · Fax (334) 293-6859
Phone(334) 264-9191
Fax(334) 264-9821
Organization SubpartNo
Authorized OfficialKelin PenneyAdministrator · (334) 240-2335
Enumeration DateDecember 22, 2015
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1912362773 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.
1758 PARK PL, Montgomery, AL 36106
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Other Names 1

Doing Business AsJackson Clinic Cardiology

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 19

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

SOUTHEAST CANCER NETWORK, INC
Internal Medicine (Hematology & Oncology)
1758 PARK PL, SUITE 301
MONTGOMERY, AL 36106
Montgomery County (205) 366-9740
STEWART H TANKERSLEY, MD, LLC
Clinic/Center
1758 PARK PL, SUITE 200
MONTGOMERY, AL 36106
Montgomery County (334) 538-9695
MR. WES HOLLAND C.PED.
Orthotist
1758 PARK PL, SUITE 300
MONTGOMERY, AL 36106
Montgomery County (334) 538-7696
CAPITAL CARDIOTHORACIC, PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1758 PARK PL, SUITE 202
MONTGOMERY, AL 36106
Montgomery County (334) 264-7156
DR. DAVID LAWRENCE KOURI M.D.
Legal Medicine
1758 PARK PL, SUITE 201
MONTGOMERY, AL 36106
Montgomery County (334) 263-3630
JACKSON HOSPITAL AND CLINIC INC.
Internal Medicine (Cardiovascular Disease)
1758 PARK PL, SUITE 402
MONTGOMERY, AL 36106
Montgomery County (334) 293-6842
LATOYA SHANTEL CLARK MD
Obstetrics & Gynecology
1758 PARK PL, SUITE 406
MONTGOMERY, AL 36106
Montgomery County (251) 716-4744
JACKSON HOSPITAL AND CLINIC INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1758 PARK PL, SUITE 202
MONTGOMERY, AL 36106
Montgomery County (334) 264-7156

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 1912362773. It was assigned to this organization in the NPPES registry on December 22, 2015. 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 1758 Park Pl Suite 401, Montgomery, AL 36106. 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.