OrganizationActive
Jackson Hospital & Clinic, Inc.
NPI 1215464300 · Surgery Physician · Montgomery, AL
Jackson Hospital & Clinic, Inc. is a Surgery Physician organization in Montgomery, AL (NPI 1215464300).
Provider details
- NPI number
- 1215464300
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelin Penney, Executive Director(334) 240-2335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1801 Pine St Ste 101
Montgomery, AL 36106-1154
Phone: (334) 293-8922
Fax: (334) 293-6820
Street-level locationGet directions
Mailing address
1722 Pine St Ste 804
Montgomery, AL 36106-1108
Other names (DBA / former)
- Doing business as
- Jackson General Surgery Wound Care
- Doing business as
- Jackson General Surgery Wound Care
Registry dates
- Enumerated
- 2017-05-19
- Last updated
- 2026-03-09
- Certified
- 2026-03-09
Frequently asked questions
- What is Jackson Hospital & Clinic, Inc.'s NPI number?
- Jackson Hospital & Clinic, Inc.'s National Provider Identifier (NPI) is 1215464300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Hospital & Clinic, Inc.?
- Jackson Hospital & Clinic, Inc. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Hospital & Clinic, Inc. located?
- Jackson Hospital & Clinic, Inc.'s practice location on file with NPPES is 1801 Pine St Ste 101, Montgomery, AL 36106-1154.
- What is Jackson Hospital & Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jackson Hospital & Clinic, Inc. is (334) 293-8922.
- Who is the authorized official for Jackson Hospital & Clinic, Inc.?
- The authorized official listed on Jackson Hospital & 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 & Clinic, Inc.'s NPI active?
- Yes — Jackson Hospital & Clinic, Inc.'s NPI (1215464300) 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.