Jackson Hospital and Clinic, Inc.
NPI 1205494416 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Montgomery, AL
Jackson Hospital and Clinic, Inc. is a Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician organization in Montgomery, AL (NPI 1205494416).
Provider details
- NPI number
- 1205494416
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelin Penney, Executive Director(334) 240-2335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Jackson Clinic Urogynecology
- Doing business as
- Jackson Clinic Urogynecology - Clanton
Additional practice locations (2)
- 2030 Lay Dam RdClanton, AL 35045-8344Phone: (334) 293-8736Fax: (334) 293-8738
- 7150 Halcyon Park DrMontgomery, AL 36117-7713Phone: (334) 293-8736Fax: (334) 293-8738
Registry dates
- Enumerated
- 2019-06-03
- 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 1205494416, 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 Urogynecology and Reconstructive Pelvic Surgery (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 1722 Pine St Ste 503, Montgomery, AL 36106-1160.
- 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) 293-8736.
- 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, Executive Director. 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 (1205494416) 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.