Tony Ray Emison, M.D.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

M.D. 15749 Issued in TN

Practice address

804 N Parkway
Jackson, TN 38305-3058

Phone

(731) 423-3020

Fax

(731) 927-8600

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Jackson Madison County Regional Health Department

  dba Jackson Madison County Health Department

  • Public Health or Welfare Agency
  • Jackson, TN
  • NPI 1871676593
  Authorized official Same address or phone

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043341555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 OLD JACKSON RD",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "380064225",
            "telephone_number": "731-663-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053058",
            "telephone_number": "731-423-3020",
            "fax_number": "731-927-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMISON",
        "first_name": "TONY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "M.D. 15749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Elsfelder, CASE MANAGER
• Emergency Medical Care Facilities PC
• Tameka Lasha Emerson, MSN, APRN, FNP-C
• Emg Clinics of Tennessee PLLC
• Emg Specialty Clinics, P.C.
• Kelechi Eremina Emmanuel, M.D.
• Justin Emmons, PHARM.D.
• Encare, LLC.
• Suzanna F Endsley, CM
• Stephanie Beth Engelhard, MD

• Clinic/Center in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.