Individual provider Active NPI

Emily Joan Reedy, PA-C

  • Physician Assistant
  • Morgantown, WV
National Provider Identifier
1386496420
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
940 Issued in WV
Practice address
165 Scott Ave Ste 100
Morgantown, WV 26508-8847
Phone
(304) 554-0400
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 940 WV Primary

Addresses

Primary practice location

165 Scott Ave Ste 100
Morgantown, WV 26508-8847

Mailing address

PO Box 746768
Atlanta, GA 30374-6768
Phone (715) 531-5650

Other practice location 1

204 Mary Higginson Ln
Uniontown, PA 15401-2657
Phone (724) 438-8300

Other practice location 2

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456

Other practice location 3

607 Chestnut St
South Charleston, WV 25309-1205
Phone (304) 766-9136

Other identifiers 1

IdentifierTypeStateIssuer
2992OtherWVWEST VIRGINIA BOARD OF MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240425003774 MI Practitioner - Physician Assistant 2961842828 Reassigns benefits to 2 organizations
I20250416003333 WV Practitioner - Physician Assistant 2961842828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology and Skin Care IncGroup PAC ID 3971536400, 3 clinicians

Practice addresses (Care Compare)

607 Chestnut St
South Charleston, WV 25309-1205
Phone (304) 766-9136

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Mercy Livingston Hospital Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
St Joseph Mercy Hospital Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
St Joseph Mercy Hospital CurrentSince Apr 1, 2024 Accepting new patients
Mountain State Medical Specialties, PLLC Single Specialty CurrentSince Sep 1, 2026 Accepting new patients
Sanova Dermatology PLLC Single Specialty PastSince Jun 15, 2025 Accepting new patients

Locations

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

204 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 438-0600

165 Scott Ave
Ste 100
Morgantown, WV 26508
Phone (304) 554-0400

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1386496420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746768",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746768",
            "telephone_number": "715-531-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SCOTT AVE STE 100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088847",
            "telephone_number": "304-554-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Mary Higginson Ln",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154012657",
            "country_code": "US",
            "telephone_number": "724-438-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 McAuley Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971051",
            "country_code": "US",
            "telephone_number": "734-712-3456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091205",
            "country_code": "US",
            "telephone_number": "304-766-9136",
            "fax_number": "304-766-9139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEDY",
        "first_name": "EMILY",
        "middle_name": "JOAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA BOARD OF MEDICINE",
            "identifier": "2992",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.