Active NPI
Jackson Hospital and Clinic Inc
Doing business as Jackson General Surgery Dr. Wesley Barry
- Surgery Physician
- Montgomery, AL
National Provider Identifier
1407300304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD.11082
- Legal business name
- JACKSON HOSPITAL AND CLINIC INC
- Doing business as
- Jackson General Surgery Dr. Wesley Barry
- Practice address
- 1722 Pine St
Suite 904
Montgomery, AL 36106-1103 - Phone
- (334) 265-9225
- Fax
- (334) 265-9257
- NPI assigned
- Aug 9, 2016
- Last updated
- Mar 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelin Penney
- Title
- Administrator
- Phone
- (334) 240-2335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD.11082 | AL | Primary |
Addresses
Primary practice location
1722 Pine St
Suite 904
Montgomery, AL 36106-1103
Mailing address
1722 Pine St Ste 804
Montgomery, AL 36106-1108
Phone (334) 240-2337
Other names 1
- Jackson General Surgery Dr. Wesley Barry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040414000971 | AL | Part B Supplier - Clinic/Group Practice | 0547254153 |
Receives reassigned benefits from 247 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
1758 Park Pl
Ste 202
Montgomery, AL 36106
Phone (334) 264-7156
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Marshfield, WI
- NPI 1518052356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773014400000",
"number": "1407300304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 PINE ST STE 804",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061108",
"telephone_number": "334-240-2337",
"fax_number": "334-293-6859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 PINE ST",
"address_2": "SUITE 904",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061103",
"telephone_number": "334-265-9225",
"fax_number": "334-265-9257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON HOSPITAL AND CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-09",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A",
"authorized_official_last_name": "PENNEY",
"authorized_official_first_name": "KELIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "334-240-2335"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "MD.11082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jackson General Surgery Dr. Wesley Barry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Montgomery, AL
- Jackson Hospital & Clinic, Inc. (Jackson Clinic Otolaryngology)
- Jackson Hospital & Clinic, Inc. (Jackson Hospital - Geriatric Psych Unit)
- Jackson Hospital & Clinic, Inc.
- Jackson Hospital and Clinic Inc
- Jackson Hospital and Clinic Inc (Jackson Urology)
- Jackson Hospital and Clinic Inc (Jackson Clinic Cardiothoracic Surgery)
- Jackson Hospital and Clinic Inc
- Jackson Hospital and Clinic Inc (Jackson Obstetrics and Gynecology)
- Jackson Hospital and Clinic Inc (Jackson Neurology)
- Jackson Hospital and Clinic Inc (Jackson Clinic General Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.