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KENNEDY S WILKES APRN
NPI 1104790724
Nurse Practitioner in Savannah, TN

Active since October 06, 2025PECOS EnrolledAccepts Medicare Assignment
60 BRAZELTON ST UNIT 6, SAVANNAH, TN 38372(731) 438-3090(731) 256-0757 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy S Wilkes Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY S WILKES APRN (NPI 1104790724) is an individual nurse practitioner in Savannah, Tennessee, licensed in Tennessee (39985) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Hardin Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104790724
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKENNEDY S WILKESCredential: APRN
Location Address60 BRAZELTON ST UNIT 6Savannah, TN 38372-3080
Mailing AddressPo Box 58Savannah, TN 38372-0058 · (731) 438-3090 · Fax (731) 256-0757
Phone(731) 438-3090
Fax(731) 256-0757
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1104790724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 39985
Definition
(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.
60 BRAZELTON ST UNIT 6, Savannah, TN 38372
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kennedy S Wilkes Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446757884
PECOS Enrollment IDI20260216001845
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hardin Medical Center

Acute Care Hospitals · Savannah, TN
OwnershipGovernment - Local
CMS Certification Number440109
Location935 Wayne RoadSavannah, TN 38372 · Hardin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDY ROGERS
Nurse Practitioner (Family)
60 BRAZELTON ST UNIT 6
SAVANNAH, TN 38372
Hardin County (731) 607-2388
COMPASSIONATE CARE CLINIC LLC
Family Medicine
60 BRAZELTON ST UNIT 6
SAVANNAH, TN 38372
Hardin County (731) 607-2388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Wilkes's NPI number?

The NPI number for Kennedy Wilkes is 1104790724. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Kennedy Wilkes located?

Kennedy Wilkes practices at 60 Brazelton St Unit 6, Savannah, TN 38372. The listed phone number is (731) 438-3090.

What is Kennedy Wilkes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kennedy Wilkes enrolled in Medicare?

Yes. Kennedy Wilkes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kennedy Wilkes affiliated with any hospitals?

According to CMS data, Kennedy Wilkes is affiliated with Hardin Medical Center.

When was this NPI record last updated?

The NPPES record for Kennedy Wilkes was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.