OrganizationActive
Jackson Hospital and Clinic, Inc.
NPI 1952949968 · Pediatrics Physician · Montgomery, AL
Provider details
- NPI number
- 1952949968
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tara Herring, Revenue Cycle Director(334) 240-2337
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
4154 Carmichael Rd
Montgomery, AL 36106-2866
Phone: (334) 271-5959
Fax: (334) 272-8775
Street-level locationGet directions
Mailing address
1722 Pine St Ste 203
Montgomery, AL 36106-1158
Other names (DBA / former)
- Doing business as
- Jackson Clinic Pediatrics
Registry dates
- Enumerated
- 2019-12-20
- Last updated
- 2019-12-20
- Certified
- 2019-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.