TRACY DAVIS
NPI 1184519282
Speech-Language Pathologist in Fayetteville, GA
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.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracy Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tracy Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30324
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Pruitthealth Therapy Services Inc
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Tracy Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Davis reassigns Medicare benefits to Pruittplace - Buckhead, LLC (Atlanta, GA). 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 Tracy 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 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 16 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.
# Tracy Davis · NPI 1184519282
Speech-Language Pathologist provider in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since June 10, 2025.
## Identity
- **NPI:** 1184519282 (Entity type: Individual)
- **Enumerated:** June 10, 2025
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SLP004227 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 112 HARBOUR LAKE DR, Fayetteville, GA 30215-6639
- **Phone:** (678) 548-0284
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Pruittplace - Buckhead, LLC (NPI 1083476105, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184519282) · Data from the CMS NPPES public registry.