KENNEDY NEAL M.S., CCC-SLP
NPI 1538095427
Speech-Language Pathologist in Jackson, MS

Active since June 19, 2026
5443 OLD CANTON RD, JACKSON, MS 39211(601) 594-1239 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kennedy Neal M.s., Ccc-slp NPPES

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

KENNEDY NEAL M.S., CCC-SLP (NPI 1538095427) is an individual speech-language pathologist provider in Jackson, Mississippi, licensed in Virginia (2202012660) and active in the NPI registry since June 2026. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1538095427
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKENNEDY NEALCredential: M.S., CCC-SLP
Location Address5443 OLD CANTON RDJackson, MS 39211-4255
Mailing Address5443 Old Canton RdJackson, MS 39211-4255 · (601) 594-1239
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2026
Last NPPES UpdateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1538095427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in VA · 2202012660✔ Licensed in MS · S-5528
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5443 OLD CANTON RD, Jackson, MS 39211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Neal M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799241915
PECOS Enrollment IDI20260728005459

Medicare Billing Reassignment

Medicare enrollment records show Kennedy Neal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
7600 CHEVY CHASE DR, BLDG 2 SUITE 300
Austin, TX 78752
  • Reassigned Medicare billing, Mississippi and Virginia enrollments
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Neal's NPI number?

The NPI number for Kennedy Neal is 1538095427. It was assigned to this individual provider in the NPPES registry on June 19, 2026.

Where is Kennedy Neal located?

Kennedy Neal practices at 5443 Old Canton Rd, Jackson, MS 39211. The listed phone number is (601) 594-1239.

What is Kennedy Neal's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kennedy Neal enrolled in Medicare?

Yes. Kennedy Neal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kennedy Neal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Neal reassigns Medicare benefits to Expressable Therapy PC (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kennedy Neal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kennedy Neal was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.