Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackson Hospital and Clinic Inc

Organization Cardiovascular Disease Physician · NPI 1164878856

Jackson Hospital and Clinic Inc provides Cardiovascular Disease Physician services in Prattville, Alabama. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

461 E Main St
Prattville, AL 36067-3409 Not confirmed with CMS for 10 years — call before visiting
Phone: (334) 264-9191
Fax: (334) 264-9199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1164878856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Administrator · (334) 240-2335
Other names Jackson Clinic Cardiology
NPI enumeratedMay 11, 2016
Last updated in NPPESMay 11, 2016
Mailing address1722 Pine St, Suite 503, Montgomery, AL 36106-1103

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