Active NPI 1588268320 Individual Practitioner Female Practitioner

Tedi Kennedy , NP

Nurse Practitioner • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tedi Kennedy, NP is a certified Nurse Practitioner practicing in Jackson, MS. With approximately 6 years of clinical experience since completing medical education in 2020, Tedi Kennedy delivers high-quality medical care to the local community at 1325 E FORTIFICATION ST.

Tedi Kennedy maintains professional affiliations with Specialty Orthopedic Group Of Ms Pllc, Mississippi Sports Medicine And Orthopaedic Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of foot, minimum of 3 views, established patient outpatient office visit, x-ray of ankle, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1325 E Fortification St

Jackson, MS 392022442

Telephone 6013544488

Associated Practice Facility / Clinic

🏢 Mississippi Sports Medicine & Orthopaedic Center Facility NPI 1568415560

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

6 Yrs -7.4 yrs vs City Avg

City Avg: 13.4 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kennedy (6 Years) 6 Yrs

Jackson Specialty Average (13.4 Years) 13.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	296	162	$100.03	$25.09
99213 Established patient office or other outpatient visit, typically 15 minutes	223	136	$100.20	$69.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	131	$140.00	$99.05
73610 X-ray of ankle, minimum of 3 views	93	55	$115.00	$26.46
73600 X-ray of ankle, 2 views	85	55	$87.06	$23.65
73650 X-ray of heel, minimum of 2 views	70	34	$90.00	$21.04
73620 X-ray of foot, 2 views	48	34	$93.75	$21.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$225.00	$129.45
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	21	11	$125.00	$49.49
73721 Mri scan of leg joint without contrast	20	20	$1200.00	$153.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$145.00	$85.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	435	233	$100.21	$69.54
73630 X-ray of foot, minimum of 3 views	323	183	$105.00	$25.36
73610 X-ray of ankle, minimum of 3 views	171	87	$115.00	$27.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	67	$140.00	$97.93
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	63	47	$125.00	$47.43
29405 Application of short leg cast	59	46	$240.68	$59.62
73600 X-ray of ankle, 2 views	54	40	$100.00	$24.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$145.00	$86.54
73620 X-ray of foot, 2 views	38	31	$100.00	$21.04
73650 X-ray of heel, minimum of 2 views	35	21	$100.00	$21.27
73721 Mri scan of leg joint without contrast	23	23	$1200.00	$157.01
29898 Removal of dead or infected ankle joint tissue using an endoscope	16	16	$800.00	$34.91
27829 Open treatment of ligament tear at ankle joint	13	13	$360.00	$49.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$225.00	$129.25
29894 Removal of loose or foreign body in ankle using an endoscope	11	11	$520.00	$30.84
27822 Open treatment of broken ankle	11	11	$580.00	$107.76
29891 Removal of bone defect of shin and/or ankle using an endoscope	11	11	$700.00	$44.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	390	183	$100.00	$70.42
73630 X-ray of foot, minimum of 3 views	300	155	$105.00	$25.71
73610 X-ray of ankle, minimum of 3 views	123	68	$115.00	$27.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	41	$140.00	$100.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$145.00	$87.40
29405 Application of short leg cast	49	32	$246.94	$60.25
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	45	29	$125.00	$44.62
73620 X-ray of foot, 2 views	34	24	$100.00	$21.23
73600 X-ray of ankle, 2 views	33	25	$100.00	$24.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$225.00	$125.87
73650 X-ray of heel, minimum of 2 views	20	14	$100.00	$21.77
73721 Mri scan of leg joint without contrast	15	15	$1200.00	$161.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	286	168	$100.00	$71.62
73630 X-ray of foot, minimum of 3 views	214	128	$105.00	$25.59
73610 X-ray of ankle, minimum of 3 views	111	65	$115.00	$27.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	63	$140.00	$102.19
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	46	31	$125.00	$43.15
29405 Application of short leg cast	43	30	$245.93	$61.28
73620 X-ray of foot, 2 views	32	27	$100.00	$21.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$145.00	$88.15
73600 X-ray of ankle, 2 views	30	23	$100.00	$24.37
73650 X-ray of heel, minimum of 2 views	28	22	$100.00	$21.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$225.00	$132.63
73721 Mri scan of leg joint without contrast	13	13	$1200.00	$169.24

Medical Specialties & State Licenses

CMS Verified: 2025-08-28

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS 904292

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Mississippi Sports Medicine And Orthopaedic Center

1325 E Fortification St, Jackson, MS 392022442

Phone: 6013544488

Specialty Orthopedic Group Of Ms Pllc

1211 S Gloster St, Tupelo, MS 388016548

Phone: 6627674200

Secondary Practice Locations

100 Baptist Memorial Cir Ste 330

Oxford, MS 386554476

Phone: 6627674200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Certified Athletic Trainer, L

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Doctor of Medicine (M.D.)

Dr. Fortunato Padua , MD

Orthopaedic Surgery

NPI 1023638517

Doctor of Medicine (M.D.)

Dr. Larry Field , MD

Orthopaedic Surgery

NPI 1073501250

Doctor of Medicine (M.D.)

Mary Durr , PA-C

Physician Assistant - Surgical

NPI 1083073233

Physician Assistant (Certified)

John Causey , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1083149181

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address August 28, 2025

Registered at 1211 S GLOSTER ST STE A, TUPELO, MS 388016548 (Tel: 6627674200)

✅

NPI Profile Active November 23, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2020

Registered at 1325 E FORTIFICATION ST, JACKSON, MS 392022442 (Tel: 6013544488)

📍

Updated Business Mailing Address November 23, 2020

Registered at 1325 E FORTIFICATION ST, JACKSON, MS 392022442 (Tel: 6013544488)

👤

Provider Name / Credentials Updated November 23, 2020

Recorded as TEDI KENNEDY, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2020

Nurse Practitioner (License #904292 in MS)

🟢

Initial NPI Registration & Enumeration November 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588268320

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 23, 2020

Last Update: August 28, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1211 S Gloster St Ste A

Tupelo, MS 388016548

Phone: 6627674200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.