Individual provider Active NPI

Jasper Truett Kennedy, MD

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1285383539
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51632 Issued in AL
Practice address
535 Jack Warner Pkwy NE Ste I
Tuscaloosa, AL 35404-5751
Phone
(205) 556-2026
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51632 AL Primary

Addresses

Primary practice location

535 Jack Warner Pkwy NE Ste I
Tuscaloosa, AL 35404-5751

Mailing address

1619 14TH Ave S Apt 1B
Birmingham, AL 35205-5592

Other names 1

  • Lacey Kennedy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813000079 AL Practitioner - Family Practice 9638559289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Alabama Women's Center Inc.Group PAC ID 1254400930, 2 clinicians

Practice addresses (Care Compare)

535 Jack Warner Pkwy
Suite 1
Tuscaloosa, AL 35404-5751
Phone (205) 556-2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama Women's Center Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

535 Jack Warner Pkwy NE
Tuscaloosa, AL 35404
Phone (205) 556-2600

535 Jack Warner Pkwy NE
Ste 1
Tuscaloosa, AL 35404
Phone (205) 556-2026

535 Jack Warner Pkwy NE
Ste I
Tuscaloosa, AL 35404
Phone (205) 556-2026

3601 Stillman Blvd
Tuscaloosa, AL 35401
Phone (205) 752-2062

3073 Palisades Ct
Tuscaloosa, AL 35405

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22293/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1285383539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 14TH AVE S APT 1B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352055592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JACK WARNER PKWY NE STE I",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045751",
            "telephone_number": "205-556-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JASPER",
        "middle_name": "TRUETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "51632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "KENNEDY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.