JACKSON HOSPITAL & CLINIC, INC.
JACKSON FAMILY MEDICINE MIDTOWN · Family Medicine

Address: 4150 Carmichael Rd Ste B, Montgomery, AL 36106-2933

JACKSON HOSPITAL & CLINIC, INC. (NPI# 1245750660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245750660
Entity Type Organization
Organization Name JACKSON HOSPITAL & CLINIC, INC.
Other Organization Name JACKSON FAMILY MEDICINE MIDTOWN (Doing Business As Name)
Practice Address 4150 Carmichael Rd Ste B
Montgomery
AL 36106-2933
Practice Telephone 3342938282
Practice Fax Number 3342938286
Mailing Address 1722 Pine St Ste 503
Montgomery
AL 36106-1160
Mailing Telephone 3342938736
Mailing Fax Number 3342938738
Certification Date 2020-04-07
Enumeration Date 2017-06-27
Last Update Date 2020-04-07
Authorized Official Telephone 3342402337
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 207Q00000X Family Medicine 193200000X MULTI-SPECIALTY GROUP Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Jackson Family Medicine Midtown Doing Business As Name

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address tara.herring@jackson.org
Direct Messaging Address tara.herring@jackson.org 4150 Carmichael Rd Ste B, Montgomery, AL 361062933

Providers with the same name

NPI Name Taxonomy Address Enumeration
1376137984 Jackson Hospital & Clinic, Inc. Pharmacy - Community/Retail Pharmacy 1842 East Main Street, Prattville, AL 36066 2021-02-24
1316447063 Jackson Hospital & Clinic, Inc. · Jackson Clinic Gastro Ste 406 Internal Medicine - Gastroenterology 1722 Pine St Ste 406, Montgomery, AL 36106-1159 2018-02-20
1013433820 Jackson Hospital & Clinic, Inc. · Jackson Clinic Urology Tallassee Urology 80 Herren Hill Rd Ste C, Tallassee, AL 36078-1264 2017-08-15
1215464300 Jackson Hospital & Clinic, Inc. · Jackson General Surgery Wound Care Surgery 1801 Pine St Ste 101, Montgomery, AL 36106-1154 2017-05-19
1720599012 Jackson Hospital & Clinic, Inc. · Jackson Clinic Otolaryngology Otolaryngology 1111 Olive St, Montgomery, AL 36106-1129 2017-10-13
1235667544 Jackson Hospital & Clinic, Inc. · Jackson Clinic Obgyn Tallassee Obstetrics & Gynecology 80 Herren Hill Rd Ste C, Tallassee, AL 36078-1264 2017-05-31
1730597816 Jackson Hospital & Clinic, Inc. · Jackson Hospital - Geriatric Psych Unit Psychiatric Unit 1725 Pine St, Montgomery, AL 36106-1109 2014-08-01
1043262488 Jackson Hospital & Clinic, Inc. · Jackson Hospital & Clinic, Inc. General Acute Care Hospital 1725 Pine St, Department of Pharmacy, Montgomery, AL 36106-1109 2006-05-16

Office Location

Street Address 4150 CARMICHAEL RD STE B
City MONTGOMERY
State AL
Zip Code 36106-2933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316491046 Katrina Jones Harris Nurse Practitioner - Family 4150 Carmichael Rd Ste B, Montgomery, AL 36106-2933 2016-08-10

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1235747205 Rural Urgent Care LLC Clinic/Center - Urgent Care 3039 Vaughn Road, Montgomery, AL 36106 2020-07-16
1467843573 Ernest Porterfield Non-emergency Medical Transport (VAN) 4183 Carmichael Road, Suite A, Montgomery, AL 36106 2015-02-11
1548733306 Bennett Family Dentistry, LLC Dentist - General Practice 4270 Carmichael Road, Montgomery, AL 36106 2019-01-04
1801213764 Amanda Hodge Specialist/Technologist - Athletic Trainer 4605 Cherry Tree Terrace, Montgomery, AL 36106 2014-03-27
1114334281 Daniel Gerald O'Bryant Specialist/Technologist - Athletic Trainer 1160 Navarro Avenue, Montgomery, AL 36106 2014-07-21
1578862546 Helping Hands Preventitive Health Center Local Education Agency (LEA) 2015 Mulberry St, Montgomery, AL 36106 2011-03-16
1235271016 Glen E Waldner Specialist 2865 Zelda Road, Montgomery, AL 36106 2007-02-12
1063577658 Pamela R Snider Psychologist 4754 Woodmere Blvd, Suite B, Montgomery, AL 36106 2006-12-26
1205095346 Adam Patrick Vogt Pathology - Cytopathology 1725 Pine St., Jackson Hospital Department of Pathology, Montgomery, AL 36106 2008-06-04
1891953501 Jack Ellis Cates Technician/Technologist - Optician 1737 West 3rd St, Montgomery, AL 36106 2008-05-29
Find all in zip 36106

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952919490 Age Well Concierge Medicine Family Medicine 18441 Tx-105, Suite B, Montgomery, TX 77356 2020-07-21
1992313670 Integrated Medical Care Pllc Family Medicine 10427 Twin Circles Dr, Montgomery, TX 77356-4704 2020-07-17
1750906921 Doctors Making Home Visits 1st Inc Family Medicine 922 S Perry St, Montgomery, AL 36104-5022 2020-06-12
1508496688 Montgomery General Hospital, Inc Family Medicine 401 6th Ave Ste 301, Montgomery, WV 25136-2116 2020-01-17
1427521962 Health Services, Inc · Highland Gardens School Based Health Center Family Medicine 2801 Willena Ave, Montgomery, AL 36107-1055 2019-01-08
1750869814 Nina Yvette Massey Family Medicine Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 2018-08-01
1255847448 Your Family Doctor, Pllc · Your Family Doctor, Pllc Family Medicine 123 Blue Heron Dr Ste 101, Montgomery, TX 77316-3192 2017-12-26
1790201770 Rinka Ravi Pahwani Family Medicine 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 2017-08-21
1003267899 Your Doctor's Office, PC Family Medicine 8630 Vaughn Rd, Montgomery, AL 36117-8852 2016-06-23
1194175513 Miho Suga Family Medicine 1801 Pine St Ste 301, Montgomery, AL 36106-1154 2016-06-16
Find all providers in MONTGOMERY

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City MONTGOMERY
Zip Code 36106

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1740851096 Jackson Hospital and Clinic Inc Urology 13240 Hwy 231 S, Suite 1, Troy, AL 36081 2021-07-08
1134797293 Jackson Hospital and Clinic, Inc Surgery - Plastic and Reconstructive Surgery 1758 Park Pl Ste 103, Montgomery, AL 36106-1133 2021-06-15
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1598333668 Jackson Hospital and Clinic, Inc Surgery - Plastic and Reconstructive Surgery 128 Mitylene Park Ln, Montgomery, AL 36117-3758 2021-06-15
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1053980318 Public Health Trust of Dade County Florida · Jackson Medical Group/ Jackson West Clinic/Center - Multi-Specialty 2801 Nw 79th Ave Ste 402, Doral, FL 33122-1174 2021-06-22
1356917892 Er Physician Group At Jackson Hospital · Chipola Quick Care - Alford General Practice 1798 Georgia St, Alford, FL 32420-6800 2021-06-03
1639757974 Ashe Memorial Hospital Inc · Fleetwood Family Medicine Family Medicine 13300-13290 Hwy 221 S, Fleetwood, NC 28626-0178 2021-03-30
1184202392 Ferrell Hospital Community Foundation · Harrisburg Family Medicine Clinic/Center - Rural Health 250 Small St, Harrisburg, IL 62946-3319 2021-03-30
1518074061 Plains Hospital Corporation · Thompson Falls Family Medicine Clinic/Center - Rural Health 120 Pond St, Thomspon Falls, MT 59873 2006-08-23

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.