Jackson Hospital and Clinic, Inc
NPI 1215519418 · Family Medicine Physician · Deatsville, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Hospital and Clinic, Inc is a Family Medicine Physician organization in Deatsville, AL (NPI 1215519418).
Provider details
- NPI number
- 1215519418
- Entity type
- Organization
- Primary specialty
- Family Medicine 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
5 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
Mailing address
Other names (DBA / former)
- Doing business as
- Jackson Family Medicine Pine Level
Registry dates
- Enumerated
- 2021-04-27
- 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 1215519418, 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 Family Medicine 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 2175 US Highway 31 N, Deatsville, AL 36022-2714.
- 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) 568-2120.
- Does Jackson Hospital and Clinic, Inc accept Medicare?
- Jackson Hospital and Clinic, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1215519418) 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.