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MRS. ADALINE KINNEY DAVIS M.A, CCC-SLP
NPI 1023992849
Speech-Language Pathologist in Jackson, TN

Active since August 04, 2025
34 GARLAND DR, JACKSON, TN 38305(731) 664-3670 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Adaline Kinney Davis M.a, Ccc-slp NPPES

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

MRS. ADALINE KINNEY DAVIS M.A, CCC-SLP (NPI 1023992849) is an individual speech-language pathologist provider in Jackson, Tennessee, licensed in Tennessee (8802) and active in the NPI registry since August 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1023992849
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. ADALINE KINNEY DAVISCredential: M.A, CCC-SLP
Location Address34 GARLAND DRJackson, TN 38305-3654
Mailing Address34 Garland DrJackson, TN 38305-3654
Phone(731) 664-3670
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1023992849 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
License✔ Licensed in TN · 8802
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.
34 GARLAND DR, Jackson, TN 38305
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Adaline Kinney Davis M.a, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032613054
PECOS Enrollment IDI20250922001033

Medicare Billing Reassignment

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

Therapy & Learning Center Inc
Same address
Clinic/Center
34 GARLAND DR
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 56 clinicians in this Medicare group
NPI 1780395830 (731) 668-9070

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON GANIER HAVERCAMP OT
Occupational Therapist
34 GARLAND DR
JACKSON, TN 38305
Madison County (731) 668-3322
SARAH WILHITE DUKE SLP
Speech-Language Pathologist
34 GARLAND DR
JACKSON, TN 38305
Madison County (731) 668-3670
PENNY ANN GIBSON
Occupational Therapist (Pediatrics)
34 GARLAND DR
JACKSON, TN 38305
Madison County (731) 668-9070
HAYLEY ALEXANDRIA LUMPKIN
Occupational Therapist
34 GARLAND DR
JACKSON, TN 38305
Madison County (731) 668-9070
SOPHIE ALLISON HANAFEE PT
Physical Therapist
34 GARLAND DR
JACKSON, TN 38305
Madison County (731) 668-3322
NANCY PRATHER OTA
Occupational Therapy Assistant
34 GARLAND DR
JACKSON, TN 38305
Madison County (731) 664-3670
TONI I LANSDALE PT
Physical Therapist
34 GARLAND DR
JACKSON, TN 38305
Madison County (731) 668-3322
TANNER WRIGHT OT
Occupational Therapist
34 GARLAND DR
JACKSON, TN 38305
Madison County (731) 668-9070

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 Adaline Davis's NPI number?

The NPI number for Adaline Davis is 1023992849. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Adaline Davis located?

Adaline Davis practices at 34 Garland Dr, Jackson, TN 38305. The listed phone number is (731) 664-3670.

What is Adaline Davis's specialty?

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

Is Adaline Davis enrolled in Medicare?

Yes. Adaline Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adaline Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adaline Davis reassigns Medicare benefits to Therapy & Learning Center Inc (Jackson, TN). 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 Adaline Davis'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 Adaline Davis was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.