MARY ASHLEY DAVIS
NPI 1659850907
Speech-Language Pathologist in Tupelo, MS

Active since August 08, 2018Accepts Medicare Assignment
1901 BRIAR RIDGE RD, TUPELO, MS 38804(662) 844-0675 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Ashley Davis NPPES

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

MARY ASHLEY DAVIS (NPI 1659850907) is an individual speech-language pathologist provider in Tupelo, Mississippi, licensed in Mississippi (S-4444) and active in the NPI registry since August 2018. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1659850907
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY ASHLEY DAVIS
Location Address1901 BRIAR RIDGE RDTupelo, MS 38804-5903
Mailing AddressPo Box 428Orchard Park, NY 14127-0428 · (716) 662-4955
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 8, 2018
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1659850907 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 MS · S-4444
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.
1901 BRIAR RIDGE RD, Tupelo, MS 38804

Other Names 1

Other Name (5)Mary Ashley Bullard

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Ashley Davis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971032178
PECOS Enrollment IDI20250131001907

Medicare Billing Reassignment

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

Physical Therapist
74 CLAIBORNE WAY
Starkville, MS 39759
  • Reassigned Medicare billing, Mississippi enrollment
  • 89 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.

Other Providers at the Same Location NPPES 10

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

Speech-Language Pathologist
1901 BRIAR RIDGE RD
TUPELO, MS 38804
Occupational Therapist
1901 BRIAR RIDGE RD
TUPELO, MS 38804
Physical Therapist
1901 BRIAR RIDGE RD
TUPELO, MS 38804
Occupational Therapist
1901 BRIAR RIDGE RD
TUPELO, MS 38804
Occupational Therapist
1901 BRIAR RIDGE RD
TUPELO, MS 38804
Speech-Language Pathologist
1901 BRIAR RIDGE RD
TUPELO, MS 38804
Speech-Language Pathologist
1901 BRIAR RIDGE RD
TUPELO, MS 38804
Occupational Therapist
1901 BRIAR RIDGE RD
TUPELO, MS 38804

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 Mary Davis's NPI number?

The NPI number for Mary Davis is 1659850907. It was assigned to this individual provider in the NPPES registry on August 8, 2018. The provider is also known as Mary Ashley Bullard.

Where is Mary Davis located?

Mary Davis practices at 1901 Briar Ridge Rd, Tupelo, MS 38804. The listed phone number is (662) 844-0675.

What is Mary Davis's specialty?

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

Is Mary Davis enrolled in Medicare?

Yes. Mary Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Davis reassigns Medicare benefits to Fox Rehab Agency Ms LLC (Starkville, MS). 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 Mary 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 Mary Davis was last updated on August 26, 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.