MR. PRESTON PARKER EMBREY (NPI# 1104059765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104059765 |
| Entity Type | Individual |
| Full Name | MR. PRESTON PARKER EMBREY |
| Credential | PA |
| Practice Address |
1718 Parr Ave Ste C Dyersburg TN 38024-2071 |
| Practice Telephone | 7312864445 |
| Practice Fax Number | 7312864452 |
| Mailing Telephone | 7312864445 |
| Mailing Fax Number | 7312864452 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2010-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1768 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1768 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS PA | 4245228 | 01 |
| TN | 1516451 | 05 | |
| TN | BCBS PA SURGERY | 4245266 | 01 |
| Street Address |
1718 PARR AVE STE C |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024-2071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182535 | Caitlin Nicole Runions | Physician Assistant | 883 Blake Cv, Dyersburg, TN 38024-7322 | 2020-01-04 |
| 1598808545 | Kimberly Fawver | Physician Assistant | Pmb 363 710 Hwy 51 Bypass, Dyersburg, TN 38024 | 2007-02-15 |
| 1861468308 | Janette Humpolick | Physician Assistant | 509 Lake Rd, Dyersburg, TN 38024-3877 | 2006-02-24 |
| 1922569565 | Clayton Robert Walker | Physician Assistant | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2019-03-27 |
| 1285007054 | Atlas Emergency Physicians, Pllc | Physician Assistant | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2015-11-03 |
| 1659744530 | Red Embers Emergency Physicians, LLC | Physician Assistant | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2015-11-02 |
| 1104190412 | Tennessee Em-i Medical Services, PC | Physician Assistant | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2012-03-05 |
| 1013210483 | Dyersburg Hbp Medical Group LLC | Physician Assistant | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2010-12-07 |
| 1760434930 | Tennessee Em-i Medical Services, P.C. | Physician Assistant | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737354 | Adrienne Smith | Physician Assistant | 5200 Park Ave Ste 100, Memphis, TN 38119-3505 | 2020-10-12 |
| 1417555459 | Kaitlyn Jones | Physician Assistant | 1229 Reserve Blvd Ste 200, Spring Hill, TN 37174-3274 | 2020-10-12 |
| 1861099491 | Caraline Berlynn Mcdowell | Physician Assistant | 284 Clearlake Dr W, Nashville, TN 37217-4547 | 2020-10-06 |
| 1508463365 | Logan Curran Martin | Physician Assistant | 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 | 2020-10-05 |
| 1487261798 | Charity Grace Coppedge | Physician Assistant | 105 Twin Oaks Dr, Nashville, TN 37211-2765 | 2020-09-30 |
| 1316554884 | Brianna Bingham | Physician Assistant | 619 Blizzard Mines Rd, Harriman, TN 37748-3852 | 2020-09-28 |
| 1871100586 | Emily Philpott | Physician Assistant | 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 | 2020-09-27 |
| 1063028876 | Emma Landers | Physician Assistant | 1534 Douglas Ave, Nashville, TN 37206-2309 | 2020-09-17 |
| 1730795527 | Melanie Rees | Physician Assistant | 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 | 2020-09-17 |
| 1265048268 | Olivia Meers | Physician Assistant | 1080 Cedarview Ln, Franklin, TN 37067-4068 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.