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

Jackson Hospital and Clinic, Inc

Organization Family Medicine Physician · NPI 1497362172

Jackson Hospital and Clinic, Inc provides Family Medicine Physician services in Montgomery, Alabama. Registered with an NPI since 2020.

In the registry since
2020
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

4035 Atlanta Hwy
Montgomery, AL 36109-2920
Phone: (334) 603-8708
Fax: (334) 603-8709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1497362172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Herring — Revenue Cycle Director · (334) 240-2337
Other names Jackson Family Medicine Dalraida
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020
Mailing address1722 Pine St Ste 203, Montgomery, AL 36106-1158

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