Individual provider Active NPI

Tina K Jones-Davis, LCSW

  • Clinical Social Worker
  • Madison, AL
National Provider Identifier
1033478482
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2387C Issued in AL
Practice address
350 Sun Temple Dr
Madison, AL 35758-5919
Phone
(256) 288-3333
Fax
(256) 429-9411
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2387C AL Primary
Clinical Social Worker 1041C0700X 399 TN

Addresses

Primary practice location

350 Sun Temple Dr
Madison, AL 35758-5919

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120620000133 AL Practitioner - Clinical Social Worker 2062676232 Reassigns benefits to 3 organizations
I20161104000306 TN Practitioner - Clinical Social Worker 2062676232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russellville Hospital Inc.Group PAC ID 3476878489, shared by 6 NPIs, 66 clinicians
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

15225 Hwy 43
Russellville, AL 35653-1969
Phone (256) 331-2700

1824 Presbyterian Dr SW
Decatur, AL 35603-1802
Phone (256) 288-3333

4087 U S
Suite 31
Falkville, AL 35622-6319
Phone (931) 427-6052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2387CALMDClinical Social Worker
399TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Magee Madry Counseling Services, LLC CurrentSince Dec 18, 2023 Accepting new patients
Russellville Hospital Inc CurrentSince Jul 15, 2022 Accepting new patients
Russellville Hospital Inc CurrentSince Jul 15, 2022 Accepting new patients
Iop Behavioral Health, LLC Past Accepting new patients

Locations

2126 6th Ave SE
Decatur, AL 35601
Phone (256) 501-1235

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1033478482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-288-3333",
            "fax_number": "256-429-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585919",
            "telephone_number": "256-288-3333",
            "fax_number": "256-429-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-DAVIS",
        "first_name": "TINA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2387C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.