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Active NPI 1104059765 Individual Practitioner Male Practitioner

Preston Parker Embrey , PA

Physician Assistant • Selmer, TN

Professional Overview & Biography Verified Profile Summary

Preston Embrey, PA is a registered healthcare professional specializing in Physician Assistant in Selmer, TN. Practice services are available at 270 E COURT AVE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, injection, ceftriaxone sodium, per 250 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

270 E Court Ave

Selmer, TN 383752304

Telephone 7315419490

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Selmer, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Selmer, TN (3096 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
42 42 $224.00 $87.46

Medical Specialties & State Licenses

CMS Verified: 2025-07-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 1768

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License TN 1768

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1516451 (TN)
Commercial Insurance / Payer ID Bcbs Pa
4245228 (TN)
Commercial Insurance / Payer ID Bcbs Pa Surgery
4245266 (TN)

Secondary Practice Locations

1718 Parr Ave Ste C

Dyersburg, TN 380242071

Phone: 7312864445

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Sarah Bergman , DO

Family Medicine

NPI 1114505666

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Brueggeman , MD

Psychiatry & Neurology - Neurology

NPI 1174628903

Doctor of Medicine (M.D.)

Dr. Adrean Stamper , DNP

Nurse Practitioner

NPI 1194321893

Doctor of Nursing Practice

Leslie Carroll , FNP-C

Nurse Practitioner

NPI 1255994166

Family Nurse Practitioner (Certified)

Rachel Robinson , NP-C

Nurse Practitioner - Family

NPI 1316531676

Nurse Practitioner (Certified)

Ashton Coles , FNP-BC

Nurse Practitioner

NPI 1356146377

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 09, 2025

Registered at 270 E COURT AVE, SELMER, TN 383752304 (Tel: 7315419490)

📍
Updated Business Mailing Address July 09, 2025

Registered at 257 BANCORP SOUTH PKWY # TN38305, JACKSON, TN 383057582 (Tel: 7316608759)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2025

Physician Assistant (License #1768 in TN)

NPI Profile Active January 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2010

Registered at 1718 PARR AVE STE C, DYERSBURG, TN 380242071 (Tel: 7312864445)

📍
Updated Business Mailing Address January 22, 2010

Registered at 1718 PARR AVE STE C, DYERSBURG, TN 380242071 (Tel: 7312864445)

👤
Provider Name / Credentials Updated January 22, 2010

Recorded as PRESTON EMBREY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2010

Physician Assistant (License #1768 in TN)

🟢
Initial NPI Registration & Enumeration August 31, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104059765
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2009
Last Update: July 09, 2025
Sole Proprietor: No

Mailing Address

257 Bancorp South Pkwy # Tn38305

Jackson, TN 383057582

Phone: 7316608759

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.