OrganizationActive
Jackson Hospital and Clinic Inc
NPI 1164803367 · Urology Physician · Montgomery, AL
Jackson Hospital and Clinic Inc is a Urology Physician organization in Montgomery, AL (NPI 1164803367).
Provider details
- NPI number
- 1164803367
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Jackson Hospital and Clinic Inc
- Organization subpart
- Yes
- Authorized official
- Kelin Penney, Administrator(334) 240-2337
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
226 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone: (334) 281-7666
Fax: (334) 293-6859
Street-level locationGet directions
Mailing address
1722 Pine St Ste 804
Montgomery, AL 36106-1108
Other names (DBA / former)
- Doing business as
- Jackson Urology
- Doing business as
- Jackson Urology East
- Doing business as
- Jackson Urology East
Registry dates
- Enumerated
- 2015-06-12
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Frequently asked questions
- What is Jackson Hospital and Clinic Inc's NPI number?
- Jackson Hospital and Clinic Inc's National Provider Identifier (NPI) is 1164803367, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Hospital and Clinic Inc?
- Jackson Hospital and Clinic Inc is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Hospital and Clinic Inc located?
- Jackson Hospital and Clinic Inc's practice location on file with NPPES is 226 Mitylene Park Dr, Montgomery, AL 36117-3548.
- What is Jackson Hospital and Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Jackson Hospital and Clinic Inc is (334) 281-7666.
- Who is the authorized official for Jackson Hospital and Clinic Inc?
- The authorized official listed on Jackson Hospital and Clinic Inc's NPPES record is Kelin Penney, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Hospital and Clinic Inc's NPI active?
- Yes — Jackson Hospital and Clinic Inc's NPI (1164803367) is active in the NPPES registry as of the last update on 2026-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.