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MS. AUDREY K DAVIS M.S., CCC-SLP
NPI 1912201237
Speech-Language Pathologist in Roanoke, VA

Active since December 29, 2010Accepts Medicare Assignment
1009 OLD COUNTRY CLUB RD NW, ROANOKE, VA 24017(540) 767-6800 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Audrey K Davis M.s., Ccc-slp NPPES

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

MS. AUDREY K DAVIS M.S., CCC-SLP (NPI 1912201237) is an individual speech-language pathologist provider in Roanoke, Virginia, licensed in Virginia (2202002584) and active in the NPI registry since December 2010. She maintains a secondary practice location in Blue Ridge and is a graduate of Other (1995).

NPPES Registry Identity

NPI1912201237
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. AUDREY K DAVISCredential: M.S., CCC-SLP
Location Address1009 OLD COUNTRY CLUB RD NWRoanoke, VA 24017-2927
Mailing Address83 Timberline DrBlue Ridge, VA 24064-1601 · (540) 525-3260
Phone(540) 767-6800
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 29, 2010
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1912201237 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
Licenses✔ Licensed in VA · 2202002584✔ Licensed · 01105990
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.
1009 OLD COUNTRY CLUB RD NW, Roanoke, VA 24017
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Secondary Practice Location 1

Location 183 Timberline DrBlue Ridge, VA 24064-1601 · Phone (540) 525-3260

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

Ms. Audrey K Davis M.s., Ccc-slp 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 ID2163957309
PECOS Enrollment IDI20241125000778

Medicare Billing Reassignment

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

Functional Pathways Preferred Of Tennessee LLC
249 mi
Physical Therapist
10133 SHERRILL BLVD, SUITE 200
Knoxville, TN 37932
  • Reassigned Medicare billing, Virginia enrollment
  • 147 clinicians in this Medicare group
NPI 1841561446 (888) 531-2204

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 14

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

VIRGINIA UNITED METHODIST HOMES, INC.
Assisted Living Facility
1009 OLD COUNTRY CLUB RD NW
ROANOKE, VA 24017
Roanoke City (540) 767-6810
CATHERINE HEISE SPRINKLE MS,CCC/SLP
Speech-Language Pathologist
1009 OLD COUNTRY CLUB RD NW
ROANOKE, VA 24017
Roanoke City (540) 767-6800
MAGEN L WINDEL LICENSED PHYSICAL TH
Physical Therapy Assistant
1009 OLD COUNTRY CLUB RD NW
ROANOKE, VA 24017
Roanoke City (540) 387-4311
HOLLY DOWDY EARLES FNP-BC
Nurse Practitioner (Family)
1009 OLD COUNTRY CLUB RD NW
ROANOKE, VA 24017
Roanoke City (540) 235-1940
MRS. CORA BETH AKERS MS, CCC-SLP
Speech-Language Pathologist
1009 OLD COUNTRY CLUB RD NW
ROANOKE, VA 24017
Roanoke City (540) 344-7945
REAGAN MICHELLE RINER
Speech-Language Pathologist
1009 OLD COUNTRY CLUB RD NW
ROANOKE, VA 24017
Roanoke City (540) 767-6800
JENNA MARIE ABRAHAMSEN M.S, CF-SLP
Speech-Language Pathologist
1009 OLD COUNTRY CLUB RD NW
ROANOKE, VA 24017
Roanoke City (540) 767-6800
MRS. SONNIE C WALSH LPTA
Physical Therapy Assistant
1009 OLD COUNTRY CLUB RD NW, GENESIS REHAB
ROANOKE, VA 24017
Roanoke City (540) 767-6817

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 Audrey Davis's NPI number?

The NPI number for Audrey Davis is 1912201237. It was assigned to this individual provider in the NPPES registry on December 29, 2010.

Where is Audrey Davis located?

Audrey Davis practices at 1009 Old Country Club Rd NW, Roanoke, VA 24017. The listed phone number is (540) 767-6800.

What is Audrey Davis's specialty?

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

Is Audrey Davis enrolled in Medicare?

Yes. Audrey 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 Audrey Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Davis reassigns Medicare benefits to Functional Pathways Preferred Of Tennessee LLC (Knoxville, 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 Audrey 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 Audrey Davis was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.