JACKSON GENERAL SURGERY DR. RANDAL SEDLAK STE 503
NPI 1992296370
Surgery in Montgomery, AL

Q: What is Jackson Hospital And Clinic, Inc.'s NPI number?

The NPI number for Jackson Hospital And Clinic, Inc. is 1992296370. It was assigned to this organization in the NPPES registry on May 22, 2018. The provider is doing business as Jackson General Surgery Dr. Randal Sedlak Ste 503.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 22, 2018

1722 PINE ST STE 503, MONTGOMERY, AL 36106(334) 264-8741(334) 264-2216 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2018, May 22, 2018 (2 updates tracked since 2018).

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About Jackson General Surgery Dr. Randal Sedlak Ste 503 NPPES

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

JACKSON GENERAL SURGERY DR. RANDAL SEDLAK STE 503 (NPI 1992296370) is a healthcare organization registered as a surgery in Montgomery, Alabama and active in the NPI registry since May 2018. The organization lists Tara Herring, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1992296370

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameJACKSON HOSPITAL AND CLINIC, INC.

Location Address1722 PINE ST STE 503Montgomery, AL 36106-1160

Mailing Address1722 Pine St Ste 503Montgomery, AL 36106-1160 · (334) 293-8736 · Fax (334) 293-8738

Phone(334) 264-8741

Fax(334) 264-2216

Organization SubpartNo

Authorized OfficialTara HerringRevenue Cycle Director · (334) 240-2337

Enumeration DateMay 22, 2018

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1992296370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1722 PINE ST STE 503, Montgomery, AL 36106

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Other Names 1

Doing Business AsJackson General Surgery Dr. Randal Sedlak Ste 503

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

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 General Surgery Dr. Randal Sedlak Ste 503 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

247

Medicare enrollment records show 247 clinicians reassign Medicare billing to Jackson General Surgery Dr. Randal Sedlak Ste 503, which bills Medicare for the services they deliver. Of these, 57 practice at this address and 167 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner86

Internal Medicine39

Family Practice26

Cardiovascular Disease (Cardiology)10

General Surgery9

Hospitalist8

Otolaryngology8

Urology7

18 other specialties54

Nearest to this location (20)

See all 247

Himanshu Aggarwal, M.D., M.S.

Urology

NPI 1316106164

1722 PINE ST STE 503
Montgomery, AL 36106

(334) 293-8271

✔ PECOS✔ Accepts MedicareSame address

Wesley Barry, M.D.,

General Surgery

NPI 1477662617

1722 PINE STREET SUITE 904
Montgomery, AL 36106

(334) 265-9225

✔ PECOS✔ Accepts MedicareSame address

Ishwarlal Bhuta, MD

Vascular Surgery

NPI 1598823122

1722 PINE STREET SUITE 801
Montgomery, AL 36106

(334) 263-1026

✔ PECOSSame address

Vijaya Boyella, MD

Gastroenterology

NPI 1932263993

1722 PINE ST STE 204
Montgomery, AL 36106

(334) 293-6825

✔ PECOS✔ Accepts MedicareSame address

Jacquelin Chua, MD

Rheumatology

NPI 1033467196

1722 PINE ST
Montgomery, AL 36106

(334) 293-8000

✔ PECOS✔ Accepts MedicareSame address

William Cumbie, MD

Internal Medicine

NPI 1053303602

1722 PINE ST STE 500
Montgomery, AL 36106

(334) 264-9500

✔ PECOSSame address

Carla De La Garza, NURSE PRACTITIONER

Nurse Practitioner

NPI 1871931832

1722 PINE ST STE 204
Montgomery, AL 36106

(334) 293-6825

✔ PECOS✔ Accepts MedicareSame address

Elizabeth Ellis, NP

Nurse Practitioner

NPI 1982213898

1722 PINE ST STE 700
Montgomery, AL 36106

(334) 834-1300

✔ PECOS✔ Accepts MedicareSame address

Muhammad Haris, MD

Gastroenterology

NPI 1073043279

1722 PINE ST
Montgomery, AL 36106

(334) 293-6825

✔ PECOS✔ Accepts MedicareSame address

Alfred Newman, MD PHD

Urology

NPI 1609864867

1722 PINE ST STE 903
Montgomery, AL 36106

(334) 265-6933

✔ PECOS✔ Accepts MedicareSame address

Pooja Poudel, MBBS

Rheumatology

NPI 1588186142

1722 PINE ST
Montgomery, AL 36106

(334) 293-8588

✔ PECOS✔ Accepts MedicareSame address

Randal Sedlak, MD

General Surgery

NPI 1780733220

1722 PINE ST STE 503
Montgomery, AL 36106

(334) 264-8741

✔ PECOSSame address

Glenn Yates, MD

Internal Medicine

NPI 1124019781

1722 PINE ST SUITE 309
Montgomery, AL 36106

(334) 262-0342

✔ PECOS✔ Accepts MedicareSame address

Gregory Borg, M.D.

Otolaryngology

NPI 1487761391

1722 PINE ST SUITE 804
Montgomery, AL 36106

(334) 834-7221

✔ PECOS✔ Accepts MedicareSame address

Thomas Cawthon, M.D.

Otolaryngology

NPI 1336256601

1722 PINE ST SUITE 804
Montgomery, AL 36106

(334) 834-7221

✔ PECOS✔ Accepts MedicareSame address

Glenn Saucer, MD

Obstetrics/Gynecology

NPI 1790770238

1722 PINE ST SUITE 603
Montgomery, AL 36106

(334) 264-2422

✔ PECOSSame address

Hajrunisa Cubro, MD

Obstetrics/Gynecology

NPI 1649730136

1725 PINE ST
Montgomery, AL 36106

(334) 293-8000

✔ PECOS✔ Accepts MedicareSame address

Harry Shao, MD

Hospitalist

NPI 1669902375

1725 PINE ST
Montgomery, AL 36106

(334) 293-4040

✔ PECOS✔ Accepts MedicareSame address

Urmil Patel, M.D.

Emergency Medicine

NPI 1336119015

1725 PINE ST
Montgomery, AL 36106

(334) 293-8000

✔ PECOS✔ Accepts MedicareSame address

Pranav Garlapati, MD

Pediatric Medicine

NPI 1003269937

1725 PINE ST
Montgomery, AL 36106

(850) 376-4584

✔ PECOSSame address

See all 247 clinicians

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 1992296370. It was assigned to this organization in the NPPES registry on May 22, 2018. The provider is doing business as Jackson General Surgery Dr. Randal Sedlak Ste 503.

Where is Jackson Hospital And Clinic, Inc. located?

Jackson Hospital And Clinic, Inc. is located at 1722 Pine St Ste 503, Montgomery, AL 36106. The listed phone number is (334) 264-8741.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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, 57 practice at this address and 167 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 June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.