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Jackson Hospital and Clinic, Inc. — NPI 1205494416, Montgomery, AL | NPI Central

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NPI 1205494416

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Jackson Hospital and Clinic, Inc.

NPI 1205494416 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Montgomery, AL

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

Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianPrimary2088F0040X
Allopathic & Osteopathic Physicians

Practice location

1722 Pine St Ste 503

Montgomery, AL 36106-1160

Phone: (334) 293-8736

Fax: (334) 293-8738

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

1722 Pine St Ste 804

Montgomery, AL 36106-1108

Other names (DBA / former)

Doing business as: Jackson Clinic Urogynecology
Doing business as: Jackson Clinic Urogynecology - Clanton

Additional practice locations (2)

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone: (334) 293-8736
Fax: (334) 293-8738
7150 Halcyon Park Dr
Montgomery, AL 36117-7713
Phone: (334) 293-8736
Fax: (334) 293-8738

Registry dates

Enumerated: 2019-06-03
Last updated: 2026-03-09
Certified: 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.