Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Adaline Kinney Davis, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1023992849

Mrs. Adaline Kinney Davis, MA, CCC-SLP is a Qualified Speech Language Pathologist in Jackson, Tennessee. Qualified in 2024, 2 years ago. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2025
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

34 Garland Dr
Jackson, TN 38305-3654
Phone: (731) 664-3670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8802 (TN)

Record details

NPI number1023992849
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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