JACKSON HOSPITAL AND CLINIC, INC. – NPI #1205494416
Urology

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Health Care Provider Taxonomy Code for Urology

JACKSON HOSPITAL AND CLINIC, INC. is an urologist located in MONTGOMERY, AL. NPPES has assigned the NPI number 1205494416 to JACKSON HOSPITAL AND CLINIC, INC. on June 03, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2088F0040X from the Health Care Provider Taxonomy code set, which is classified as Urology, specializing in Female Pelvic Medicine and Reconstructive Surgery

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
1205494416
Enumeration Date

(more than 7 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.
Other name(s)
All associated names:
Doing Business As (dba)
Jackson Clinic Urogynecology
Doing Business As (dba)
Jackson Clinic Urogynecology - Clanton
Primary location
1722 PINE ST STE 503
MONTGOMERY, AL 36106-1160
Phone: (334) 293-8736 Fax: (334) 293-8738
2 Other location(s):
2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone: (334) 293-8736
Fax: (334) 293-8738
7150 Halcyon Park Dr
Montgomery, AL 36117-7713
Phone: (334) 293-8736
Fax: (334) 293-8738
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
2088F0040X
- Urology / Female Pelvic Medicine and Reconstructive Surgery (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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1722 PINE ST STE 503,
MONTGOMERY, AL 77025-1669