OrganizationActive
Jackson Hospital and Clinic, Inc.
NPI 1760770754 · Urology Physician · Montgomery, AL
Jackson Hospital and Clinic, Inc. is a Urology Physician organization in Montgomery, AL (NPI 1760770754).
Provider details
- NPI number
- 1760770754
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelin Penney, Executive Director(334) 240-2335
- License
- MD.31014 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1722 Pine St
Suite 502
Montgomery, AL 36106-1103
Phone: (334) 293-8588
Street-level locationGet directions
Mailing address
1722 Pine St Ste 804
Montgomery, AL 36106-1108
Other names (DBA / former)
- Doing business as
- Jackson Clinic Urology
Registry dates
- Enumerated
- 2011-07-12
- 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 1760770754, 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 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, Montgomery, AL 36106-1103.
- 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) 293-8588.
- 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 (1760770754) 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.