Organization · Type 2 NPI

Jackson Hospital and Clinic, Inc.

Rheumatology Physician · Montgomery, AL

NPI number 1497240998 Active

Practice location

1722 Pine St Ste 405
Montgomery, AL 36106-1159

Call (334) 293-6904 Map

Fax (334) 293-6927

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108

Specialties and licenses

Taxonomy	Code	License
Rheumatology Physician Primary	207RR0500X	None listed

Rheumatology Physician: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

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NPI record

NPI: 1497240998
Entity type: Organization (Type 2)
Issued: Jun 27, 2018
Last updated: Mar 9, 2026
Status: Active

Other names

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Jackson Clinic Rheumatology · doing business as
Jackson Clinic Rheumatology · doing business as

Authorized official

Kelin Penney
Executive Director
(334) 240-2335

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497240998

Jackson Hospital and Clinic, Inc.'s National Provider Identifier is 1497240998, issued on Jun 27, 2018. The primary taxonomy on file is Rheumatology Physician (207RR0500X), and the practice location is in Montgomery, AL. The record was last updated on Mar 9, 2026.