Active NPI
Emily Mary Anderson, PA-C
- Physician Assistant
- Athens, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13280
- Practice address
- 242 King Avenue Ste 150
Athens, GA 30606 - Phone
- (847) 436-1280
- NPI assigned
- Aug 27, 2018
- Last updated
- Nov 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2021020597 | MO | |
| Physician Assistant | 363A00000X | 13280 | GA | Primary |
| Surgical Physician Assistant | 363AS0400X | 085006639 | IL |
Addresses
Primary practice location
242 King Avenue Ste 150
Athens, GA 30606
Mailing address
701 S. New Ballas Road
Suite 300
Saint Louis, MO 63141
Phone (314) 251-5890
Other practice location 1
701 S. New Ballas Road
Suite 300
Saint Louis, MO 63141
Phone (314) 251-5890
Other practice location 2
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 475-7000
340 Exchange Blvd
Bethlehem, GA 30620-1759
Phone (678) 963-7171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13280 | GA | MD | Physician Assistant |
| 2021020597 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Athens Specialty Care LLC | Current | Accepting new patients | |
| Mercy Clinic East Communities | Past | Accepting new patients |
Locations
340 Exchange Blvd
Bethlehem, GA 30620
Phone (678) 963-7171
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1043530538
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1467933564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S. NEW BALLAS ROAD",
"address_2": "SUITE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-251-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 KING AVENUE STE 150",
"city": "ATHENS",
"state": "GA",
"postal_code": "30606",
"telephone_number": "847-436-1280"
}
],
"practiceLocations": [
{
"address_1": "701 S. New Ballas Road",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "63141",
"country_code": "US",
"telephone_number": "314-251-5890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 S New Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-251-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "EMILY",
"middle_name": "MARY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2021020597",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "13280",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IL",
"license": "085006639",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11125 Dunn Rd Ste 301",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.