Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Austin Kennedy, FNP-C

Individual provider Family Nurse Practitioner · NPI 1427715937

Blake Austin Kennedy, FNP-C is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2021, 5 years ago. Practices with Specialty Orthopedic Group of Mississippi PLLC, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1211 S Gloster St Ste A
Tupelo, MS 38801-6548
Phone: (662) 767-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Baptist Memorial Cir Ste 330, Oxford, MS 38655-4476 — (662) 767-4200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904722 (MS)

Record details

NPI number1427715937
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 18, 2021
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Specialty Orthopedic Group Of Mississippi Pllc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tupelo