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TRACY KELLY DAVIS
NPI 1962139089
Counselor - Mental Health in Brewton, AL

Active since August 08, 2022PECOS Enrolled
1321 MCMILLAN AVE, BREWTON, AL 36426(251) 867-3242(251) 867-7151 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tracy Kelly Davis NPPES

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

TRACY KELLY DAVIS (NPI 1962139089) is an individual mental health provider in Brewton, Alabama and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962139089
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY KELLY DAVIS
Location Address1321 MCMILLAN AVEBrewton, AL 36426-1324
Mailing AddressPo Box 964Monroeville, AL 36461-0964 · (251) 575-4203 · Fax (251) 575-9459
Phone(251) 867-3242
Fax(251) 867-7151
Sole ProprietorNo
Enumeration DateAugust 8, 2022
NPPES CertifiedAugust 8, 2022
✔ NPI 1962139089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1321 MCMILLAN AVE, Brewton, AL 36426
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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)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Southwest Alabama Behavioral Health Care Systems
31 mi
Mental Health (Including Community Mental Health Center)
328 WEST CLAIBORNE STREET
Monroeville, AL 36460
  • Reassigned Medicare billing, Alabama enrollment
  • 17 clinicians in this Medicare group
NPI 1881628162 (251) 575-4203

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
21 services11 patients

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.

CYNTHIA GAMBLE TATUM
Counselor (Mental Health)
1321 MCMILLAN AVE
BREWTON, AL 36426
Escambia County (251) 867-3242
LINDA KAREN STARLING MS
Counselor (Mental Health)
1321 MCMILLAN AVE
BREWTON, AL 36426
Escambia County (251) 575-4203
GWENDOLYN BETHANY FAITH BETTS LPN
Licensed Practical Nurse
1321 MCMILLAN AVE
BREWTON, AL 36426
Escambia County (251) 575-4203
MISS CALLEY RONSO MS, ALC
Counselor (Addiction (Substance Use Disorder))
1321 MCMILLAN AVE
BREWTON, AL 36426
Escambia County (251) 867-3242
STACEY LAQUITA MARKS MSW
Counselor (Mental Health)
1321 MCMILLAN AVE
BREWTON, AL 36426
Escambia County (251) 867-3242
MS. CYNTHIA FREAS
Social Worker
1321 MCMILLAN AVE
BREWTON, AL 36426
Escambia County (251) 867-3242
VALON MARIAH MCGHEE
Counselor (Mental Health)
1321 MCMILLAN AVE
BREWTON, AL 36426
Escambia County (251) 575-4203
DANA MCLEOD M.S.
Counselor (Mental Health)
1321 MCMILLAN AVE
BREWTON, AL 36426
Escambia County (251) 867-3242

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 1962139089. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Tracy Davis located?

Tracy Davis practices at 1321 Mcmillan Ave, Brewton, AL 36426. The listed phone number is (251) 867-3242.

What is Tracy Davis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

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 Southwest Alabama Behavioral Health Care Systems (Monroeville, AL). 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 August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.