OrganizationActive
Jackson Clinic Multispecialty Wetumpka
NPI 1295351963 · Specialist · Wetumpka, AL
Provider details
- NPI number
- 1295351963
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Tara Herring, Revenue Cycle Director(334) 240-2337
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(64/100 index)
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
277 Huntress St
Wetumpka, AL 36092-3329
Phone: (334) 293-8736
Fax: (334) 293-8738
Street-level locationGet directions
Mailing address
1722 Pine St Ste 203
Montgomery, AL 36106-1158
Registry dates
- Enumerated
- 2020-06-18
- Last updated
- 2020-06-18
- Certified
- 2020-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.