Jackson Hospital and Clinic, Inc.
NPI 1538455613ActiveOrganization· Surgery, Vascular Surgery· Montgomery, AL
Surgery, Vascular Surgery in Montgomery, Alabama, registered in NPPES in June 2011. The authorized official on file is Kelin Penney, Executive Director.
Overview
| NPI | 1538455613 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2011 |
| Last updated in NPPES | Oct 8, 2026 |
| Certified by provider | Oct 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | — | — |
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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