Individual provider Active NPI

Marisa Elaine Emmons, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1174722367
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N2068 Issued in TX
Practice address
2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894
Phone
(210) 705-5100
Fax
(210) 705-5106
NPI assigned
Jul 17, 2007
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N2068 TX Primary

Addresses

Primary practice location

2833 Babcock Rd Ste 203
San Antonio, TX 78229-4894

Mailing address

919 Hidden RDG FL 6
Irving, TX 75038-3813
Phone (469) 282-2711

Other practice location 1

11823 Culebra Rd Ste 105
San Antonio, TX 78253-4563
Phone (210) 598-1517

Other identifiers 5

IdentifierTypeStateIssuer
1L4747OtherTXMEDICARE
P02601719OtherTXMCRR
280693701MedicaidTX
280693702MedicaidTX
P02601763OtherTXMCRR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000212 TX Practitioner - Family Practice 3678757986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2833 Babcock Rd
Suite 435
San Antonio, TX 78229-4850
Phone (210) 705-5060

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N2068TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
C H Wilkinson Physician Network Family Medicine CurrentSince Feb 1, 2011 Accepting new patients
C H Wilkinson Physician Network CurrentSince Feb 1, 2011 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 1, 2021 Accepting new patients

Locations

919 Hidden Rdg
Fl 6
Irving, TX 75038
Phone (469) 282-2711

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

2833 Babcock Rd
Ste 203
San Antonio, TX 78229
Phone (210) 267-1709

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: memmons175507@christushealth.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Christus Trinity ClinicHawkins, TX, CCN 673886 Rural health clinic Corporate Director Mar 1, 2020
Christus Trinity ClinicQuitman, TX, CCN 673823 Rural health clinic Corporate Director Mar 1, 2020
Christus Trinity ClinicMineola, TX, CCN 673825 Rural health clinic Corporate Director Mar 1, 2020
Christus Trinity ClinicCanton, TX, CCN 673822 Rural health clinic Corporate Director Mar 1, 2020
Christus Trinity ClinicEmory, TX, CCN 673811 Rural health clinic Corporate Director Mar 1, 2020
Christus Trinity ClinicWinnsboro, TX, CCN 678958 Rural health clinic Corporate Director Mar 1, 2020

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1174722367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG FL 6",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294894",
            "telephone_number": "210-705-5100",
            "fax_number": "210-705-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11823 Culebra Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782534563",
            "country_code": "US",
            "telephone_number": "210-598-1517",
            "fax_number": "210-598-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "MARISA",
        "middle_name": "ELAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N2068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1L4747",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601719",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280693701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280693702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02601763",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.