Active NPI
Fred Earl Kency Jr., M.D.
- Emergency Medicine Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 22282
- Practice address
- 1225 N State St
Jackson, MS 39202-2097 - Phone
- (601) 968-6142
- NPI assigned
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 22282 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 22282 | MS | Primary |
Addresses
Primary practice location
1225 N State St
Jackson, MS 39202-2097
Mailing address
2500 N State St
Emergency Medicine Department
Jackson, MS 39216-4500
Phone (601) 826-2753
Other practice location 1
2500 N State St
Emergency Medicine Department
Jackson, MS 39216-4500
Phone (601) 984-1000
Other practice location 2
2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of South Alabama College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 N State St
Jackson, MS 39202-2064
Phone (601) 968-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King's Daughters Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Mississippi Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Kings Daughters Medical Center | Current | Accepting new patients | |
| Mississippi Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| King's Daughters Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Medical Services of Meridian, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
2500 N State St
#4200
Jackson, MS 39216
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
Interoperability endpoints
- fkency57377@ummc.direct-ci.com
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Corinth, MS
- NPI 1902174832
-
dba Kings Daughters Pro Anesthesia
- Anesthesiology Physician
- Brookhaven, MS
- NPI 1043245368
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba King's Daughters Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1881476364
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1982011714
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1700172327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "EMERGENCY MEDICINE DEPARTMENT",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-826-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022097",
"telephone_number": "601-968-6142"
}
],
"practiceLocations": [
{
"address_1": "2500 N State St",
"address_2": "Emergency Medicine Department",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392164500",
"country_code": "US",
"telephone_number": "601-984-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2124 14th St",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393014040",
"country_code": "US",
"telephone_number": "601-553-6000",
"fax_number": "601-703-0124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENCY",
"first_name": "FRED",
"middle_name": "EARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "22282",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "22282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.