MR. PRESTON PARKER EMBREY PA
NPI 1104059765
Physician Assistant in Selmer, TN
About Mr. Preston Parker Embrey Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PRESTON PARKER EMBREY PA (NPI 1104059765) is an individual physician assistant in Selmer, Tennessee, licensed in Tennessee (1768) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dyersburg.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Preston Parker Embrey Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Preston Embrey's NPI number?
The NPI number for Preston Embrey is 1104059765. It was assigned to this individual provider in the NPPES registry on August 31, 2009.
Where is Preston Embrey located?
Preston Embrey practices at 270 E Court Ave, Selmer, TN 38375. The listed phone number is (731) 541-9490.
What is Preston Embrey's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Preston Embrey enrolled in Medicare?
Yes. Preston Embrey is registered in the Medicare PECOS enrollment system.
What insurance does Preston Embrey accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Preston Embrey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Preston Embrey was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Mr. Preston Parker Embrey, PA · NPI 1104059765
Physician Assistant physician in Selmer, Tennessee. Individual provider, active in the CMS NPPES registry since August 31, 2009.
## Identity
- **NPI:** 1104059765 (Entity type: Individual)
- **Enumerated:** August 31, 2009
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 1768 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 270 E COURT AVE, Selmer, TN 38375-2304
- **Phone:** (731) 541-9490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 9, 2025
- **Other identifiers:** Medicaid 1516451 (TN); Other 4245228 (TN); Other 4245266 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1104059765) · Data from the CMS NPPES public registry.