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JACKSON HOSPITAL AND CLINIC, INC
NPI 1992377873
Internal Medicine - Endocrinology, Diabetes & Metabolism in Montgomery, AL

Active since July 12, 2021
1801 PINE ST STE 204, MONTGOMERY, AL 36106(334) 293-8877(334) 293-6803 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, Jul 12, 2021 (2 updates tracked since 2021).

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 1992377873), doing business as Jackson Clinic Endocrinology Suite 204, is a healthcare organization registered as an endocrinology, diabetes & metabolism in Montgomery, Alabama and active in the NPI registry since July 2021. The organization lists Kelin Penney, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1992377873
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameJACKSON HOSPITAL AND CLINIC, INC
Location Address1801 PINE ST STE 204Montgomery, AL 36106-1154
Mailing Address1722 Pine St Ste 804Montgomery, AL 36106-1108 · (334) 293-8736 · Fax (334) 293-8738
Phone(334) 293-8877
Fax(334) 293-6803
Organization SubpartNo
Authorized OfficialKelin PenneyExecutive Director · (334) 240-2335
Enumeration DateJuly 12, 2021
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1992377873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1801 PINE ST STE 204, Montgomery, AL 36106
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Other Names 1

Doing Business AsJackson Clinic Endocrinology Suite 204

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

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

DR. HIMA REDDY AMMANA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1801 PINE ST STE 204
MONTGOMERY, AL 36106
Montgomery County (334) 293-8877

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 1992377873. It was assigned to this organization in the NPPES registry on July 12, 2021. The provider is doing business as Jackson Clinic Endocrinology Suite 204.

Where is Jackson Hospital And Clinic, Inc located?

Jackson Hospital And Clinic, Inc is located at 1801 Pine St Ste 204, Montgomery, AL 36106. The listed phone number is (334) 293-8877.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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.