Charles Reggie Kennedy Sr., CERTIFIED ORTHOTIST
NPI 1548583172ActiveIndividual· Orthotist· Jackson, MS
Orthotist (CERTIFIED ORTHOTIST) in Jackson, Mississippi, licensed in MS, with an NPI issued in March 2010.
Overview
| NPI | 1548583172 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CERTIFIED ORTHOTIST |
| Sole proprietor | Yes |
| NPI issued | Mar 10, 2010 |
| Last updated in NPPES | Mar 10, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthotist Primary | 222Z00000X | C0004097 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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