Jackson Hospital and Clinic, Inc
NPI 1134797293ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Montgomery, AL
Surgery, Plastic and Reconstructive Surgery in Montgomery, Alabama, registered in NPPES in June 2021. The authorized official on file is Tara Herring, Revenue Cycle Director.
Overview
| NPI | 1134797293 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2021 |
| Last updated in NPPES | Jun 15, 2021 |
| Certified by provider | Jun 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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