Emily Leib, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12459 Issued in TX

Practice address

404 Avenue E
Moody, TX 76557-3579

Phone

(254) 853-9603

Fax

(254) 248-0626

NPI assigned

Dec 21, 2018

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Texas Medical Branch at Galveston, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coryell County Memorial Hospital AuthorityGroup PAC ID 7719886282, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eleib@cmhs.securechart.com

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.

• Coryell County Memorial Hospital Authority

  dba Coryell Memorial Healthcare System

  • Anesthesiology Physician
  • Gatesville, TX
  • NPI 1992832521
  Medicare reassignment Care Compare group
• Coryell County Memorial Hospital Authority

  dba Hillside Medical Lodge

  • Skilled Nursing Facility
  • Gatesville, TX
  • NPI 1427345347
  NPD
• Coryell County Memorial Hospital Authority

  dba Coryell Health

  • Emergency Medicine Physician
  • Gatesville, TX
  • NPI 1528195062
  NPD
• Coryell County Memorial Hospital Authority

  dba Coryell Health Medical Clinic Moody

  • Rural Health Clinic/Center
  • Moody, TX
  • NPI 1780298547
  NPD

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

• Coryell County Memorial Hospital Authority

  dba Coryell Health

  • Critical Access Hospital
  • Gatesville, TX
  • NPI 1780823021
  Care Compare affiliation

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1629540109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 AVENUE E",
            "city": "MOODY",
            "state": "TX",
            "postal_code": "765573579",
            "telephone_number": "254-853-9603",
            "fax_number": "254-248-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gatesville",
            "state": "TX",
            "postal_code": "765281024",
            "country_code": "US",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIB",
        "first_name": "EMILY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleib@ch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "404 Avenue E",
            "city": "Moody",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765573579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cecilia Wharton Erlund, EDD LPC
• Gentle Transitions, LLC
• Hometown Care Center LLC (Hometown Care Center)
• Marvelous Kirven
• Michelle R Laningham-Brem, LPC
• Pete Martinez
• Hugh McDanel
• Janice Renay Newman, OTR
• Maria-Cristina Pascoe
• Joshua Price, LPC

• Physician Assistant in Moody, TX
• Providers in Moody, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.

Verify at the official NPI Registry.