Individual provider Active NPI

Emily Harbarger, FNP

  • Family Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1568020675
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01191215 Issued in MS
Practice address
1297 W Government St
Brandon, MS 39042-3048
Phone
(601) 200-4790
Fax
(601) 200-4855
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01191215 MS Primary

Addresses

Primary practice location

1297 W Government St
Brandon, MS 39042-3048

Mailing address

PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4790

Other practice location 1

205A Belle Meade Pt
Flowood, MS 39232-3311
Phone (601) 200-4790

Other practice location 2

342 Magnolia Dr
Raleigh, MS 39153-6012
Phone (601) 782-5665

Other identifiers 3

IdentifierTypeStateIssuer
1H7653OtherMSMEDICARE ST DOM
05834502MedicaidMS
F01191215OtherMSAMERICAN ACADEMY OF NURSE PRACTITIONERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wparker@neshoba-hospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200113000935 MS Practitioner - Nurse Practitioner 9032544416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Dominic Medical Associates LLCGroup PAC ID 0446303168, 130 clinicians

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

1297 W Government St
St Dominic Family Practice Associaties
Brandon, MS 39042-3048
Phone (601) 200-4790

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01191215MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Dominic Medical Associates LLC CurrentSince Oct 1, 2020 Accepting new patients
St. Dominic Medical Associates LLC CurrentSince Oct 1, 2020 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients

Locations

1297 W Government St
Brandon, MS 39042
Phone (601) 200-4790

106 Highland Way
Ste 202
Madison, MS 39110
Phone (601) 200-3376

342 Magnolia Dr
Raleigh, MS 39153
Phone (601) 782-5665

Interoperability endpoints

  • Direct secure messaging: eharbarger2546032@direct.casso.us.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1568020675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23666",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253666",
            "telephone_number": "601-200-4790",
            "fax_number": "601-200-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 W GOVERNMENT ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423048",
            "telephone_number": "601-200-4790",
            "fax_number": "601-200-4855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205A Belle Meade Pt",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392323311",
            "country_code": "US",
            "telephone_number": "601-200-4790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 Magnolia Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "MS",
            "postal_code": "391536012",
            "country_code": "US",
            "telephone_number": "601-782-5665",
            "fax_number": "601-782-5857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBARGER",
        "first_name": "EMILY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F01191215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ST DOM",
            "identifier": "1H7653",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05834502",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F01191215",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wparker@neshoba-hospital.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 Holland Ave",
            "city": "Philadelphia",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393502161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.