JACKSON HOSPITAL AND CLINIC INC – NPI #1740851096
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

JACKSON HOSPITAL AND CLINIC INC is an urologist located in TROY, AL. NPPES has assigned the NPI number 1740851096 to JACKSON HOSPITAL AND CLINIC INC on July 08, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on Mar 09, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON HOSPITAL AND CLINIC INC below.

NPI Profile for
JACKSON HOSPITAL AND CLINIC INC

NPI Number
1740851096
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSON HOSPITAL AND CLINIC INC
Primary location
13240 HWY 231 S
SUITE 1
TROY, AL 36081
Phone: (334) 281-7666 Fax: (334) 281-2822
Mailing address
1722 PINE ST STE 804
MONTGOMERY, AL 36106-1108
Phone: (334) 293-8736 Fax: (334) 293-8738
Organization Subpart
No
Authorized Official
KELIN PENNEY
EXECUTIVE DIRECTOR
Phone: (334) 240-2335
Updated
Certification Date
Mar 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.