Jackson Hospital and Clinic Inc
NPI 1164803367ActiveOrganization· Urology· Montgomery, AL
Urology in Montgomery, Alabama, registered in NPPES in June 2015, part of Jackson Hospital and Clinic Inc. The authorized official on file is Kelin Penney, Administrator.
Overview
| NPI | 1164803367 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Jackson Hospital and Clinic Inc |
| NPI issued | Jun 12, 2015 |
| Last updated in NPPES | Mar 9, 2026 |
| Certified by provider | Mar 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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