Jackson Hospital and Clinic, Inc.
NPI 1073264107ActiveOrganization· Emergency Medicine· Montgomery, AL
Emergency Medicine in Montgomery, Alabama, registered in NPPES in January 2022. The authorized official on file is Melody Cowdrey, Director-Revenue Cycle Integration. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073264107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2022 |
| Last updated in NPPES | Feb 24, 2023 |
| Certified by provider | Feb 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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