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 1891156469

Jackson Hospital and Clinic Inc provides Cardiovascular Disease Physician services in Tallassee, 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.

See every abbreviation used in this directory →

Practice location Address checks out

115 Herren Hill Rd
Tallassee, AL 36078-1276
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 number1891156469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Administrator · (334) 240-2335
Other names Jackson Clinic Cardiology
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1722 Pine St Ste 804, Montgomery, AL 36106-1108