Thomas Lynn Kennedy Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E-15513 Issued in AR

Practice address

403 W Oak St Ste 204
El Dorado, AR 71730-4574

Phone

(870) 881-9311

Fax

(870) 881-8588

NPI assigned

May 24, 2017

Last updated

Feb 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

General Surgery

Education

University of Arkansas College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Arkansas Physician Group LLCGroup PAC ID 4486002151, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088
• Ashley County Medical Center Hospital, Crossett, AR, CCN 041323
• Medical Center of S Arkansas Inpatient rehabilitation facility, El Dorado, AR, CCN 04T088

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.kennedy.1@29233.direct.athenahealth.com
• Direct secure messaging: thomas.kennedy.jr.1@28154.direct.athenahealth.com

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

• South Arkansas Physician Group LLC

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1285325969

  Surgery

  Medicare reassignment Care Compare group NPD
• Thomas L Kennedy Jr MD PLLC

  • Surgery Physician
  • El Dorado, AR
  • NPI 1528937844
  Medicare reassignment NPD Authorized official
• Healogics Specialty Physicians of Arkansas, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fayetteville, AR
  • NPI 1538561436

  Surgery

  Medicare reassignment NPD
• J. Brandon Morgan, MD,PLLC

  • Surgery Physician
  • El Dorado, AR
  • NPI 1134139405
  NPD
• South Arkansas Physician Services LLC

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1427018704
  NPD
• Healogics Specialty Physicians of Missouri, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Joplin, MO
  • NPI 1528468311

  Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crossett Health Foundation

  dba Ashley County Medical Center

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Care Compare affiliation
• South Arkansas Regional Hospital LLC

  • Rehabilitation Hospital Unit
  • El Dorado, AR
  • NPI 1437840253

  Inpatient rehabilitation facility

  Care Compare affiliation
• South Arkansas Regional Hospital LLC

  • General Acute Care Hospital
  • El Dorado, AR
  • NPI 1780375592
  Care Compare affiliation

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1396273173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W OAK ST STE 204",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304574",
            "telephone_number": "870-881-9311",
            "fax_number": "870-881-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W OAK ST STE 204",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304574",
            "telephone_number": "870-881-9311",
            "fax_number": "870-881-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "THOMAS",
        "middle_name": "LYNN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-15513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana T. Jucas, M.D.
• Benjamin J. Jumper, MD
• Justkam Quick Stick Lab
• Joy Kelley
• Ken's Discount Building Maeterials Inc. (Blackmon's Furniture & Appliance)
• Kenneth C. Prather, M.D., P.a.
• Sherry Kerr, R.N.
• Kingdom Concepts, Inc. (Med-Assist)
• Ivory Amelia Kinslow, MD
• Janis K Lacy

• Surgery Physician in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.