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 1912362773

Jackson Hospital and Clinic Inc provides Cardiovascular Disease Physician services in Montgomery, Alabama. Registered with an NPI since 2015.

In the registry since
2015
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

1758 Park Pl Ste 401
Montgomery, AL 36106-1127
Phone: (334) 264-9191
Fax: (334) 264-9821
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 number1912362773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Administrator · (334) 240-2335
Other names Jackson Clinic Cardiology
NPI enumeratedDecember 22, 2015
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1722 Pine St Ste 804, Montgomery, AL 36106-1108

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