JACKSON CLINIC UROLOGY-DR NEWMAN
NPI 1972655314
Urology in Montgomery, AL

Active since January 17, 2007
1722 PINE STREET, SUITE 903, MONTGOMERY, AL 36106(334) 265-6933(334) 265-7415 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jackson Clinic Urology-dr Newman NPPES

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

JACKSON CLINIC UROLOGY-DR NEWMAN (NPI 1972655314) is a healthcare organization registered as an urology in Montgomery, Alabama and active in the NPI registry since January 2007. The organization lists Benjamin Wells, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1972655314
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJACKSON CLINIC UROLOGY-DR NEWMAN
Location Address1722 PINE STREET, SUITE 903Montgomery, AL 36106-1158
Mailing Address1725 Pine Street, Attn: Patient Financial ServicesMontgomery, AL 36106-1109 · (334) 293-8736 · Fax (334) 293-8738
Fax(334) 265-7415
Organization SubpartNo
Authorized OfficialBenjamin WellsChief Financial Officer · (334) 293-8000
Enumeration DateJanuary 17, 2007
Last NPPES UpdateDecember 28, 2023
✔ NPI 1972655314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in AL · 8045
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1722 PINE STREET, Montgomery, AL 36106

Other Identifiers 3

Other010003281AL · Travlers Railroad
Other82994AL · Blue Cross
Medicaid000082994AL

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

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 Clinic Urology-dr Newman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jackson Clinic Urology-Dr Newman, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1609864867
1722 PINE ST STE 903
Montgomery, AL 36106
(334) 265-6933
✔ PECOS✔ Accepts MedicareSame address

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 Clinic Urology-Dr Newman's NPI number?

The NPI number for Jackson Clinic Urology-Dr Newman is 1972655314. It was assigned to this organization in the NPPES registry on January 17, 2007.

Where is Jackson Clinic Urology-Dr Newman located?

Jackson Clinic Urology-Dr Newman is located at 1722 Pine Street Suite 903, Montgomery, AL 36106. The listed phone number is (334) 265-6933.

What is Jackson Clinic Urology-Dr Newman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jackson Clinic Urology-Dr Newman enrolled in Medicare?

Yes. Jackson Clinic Urology-Dr Newman is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Clinic Urology-Dr Newman?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Jackson Clinic Urology-Dr Newman. 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. 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 Clinic Urology-Dr Newman was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.