Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Other names
Jackson Clinic Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (ADMINISTRATOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
115 HERREN HILL RD, TALLASSEE, AL 36078-1276
(334) 264-9191
(334) 264-9199
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 240-2337
(334) 293-6859
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/09/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up