TRACY DAVIS
NPI 1184519282
Speech-Language Pathologist in Fayetteville, GA

Q: What is Tracy Davis's NPI number?

The NPI number for Tracy Davis is 1184519282. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Tracy Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Davis was last updated on June 10, 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.

Active since June 10, 2025

112 HARBOUR LAKE DR, FAYETTEVILLE, GA 30215(678) 548-0284 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tracy Davis NPPES

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

TRACY DAVIS (NPI 1184519282) is an individual speech-language pathologist provider in Fayetteville, Georgia, licensed in Georgia (SLP004227) and active in the NPI registry since June 2025. She is a graduate of Other (1996).

NPPES Registry Identity

NPI1184519282

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameTRACY DAVIS

Location Address112 HARBOUR LAKE DRFayetteville, GA 30215-6639

Mailing Address112 Harbour Lake DrFayetteville, GA 30215-6639 · (678) 548-0284

Phone(678) 548-0284

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1184519282 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 GA · SLP004227

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.

112 HARBOUR LAKE DR, Fayetteville, GA 30215

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42724155

PECOS Enrollment IDI20250710000598

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 Tracy Davis's NPI number?

The NPI number for Tracy Davis is 1184519282. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Tracy Davis located?

Tracy Davis practices at 112 Harbour Lake Dr, Fayetteville, GA 30215. The listed phone number is (678) 548-0284.

What is Tracy Davis's specialty?

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

Is Tracy Davis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracy Davis was last updated on June 10, 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.