Individual provider Active NPI

Emily Harris, PA-C

  • Physician Assistant
  • Gideon, MO
National Provider Identifier
1962974741
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2023031651 Issued in MO
Practice address
100 N Main St
Gideon, MO 63848-9253
Phone
(573) 448-3800
NPI assigned
Dec 18, 2018
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 2023031651 MO Primary

Addresses

Primary practice location

100 N Main St
Gideon, MO 63848-9253

Mailing address

100 N Main St
Gideon, MO 63848-9253
Phone (573) 448-3800

Other identifiers 1

IdentifierTypeStateIssuer
1140221MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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
I20190221000567 IL Practitioner - Physician Assistant 5991043762 Reassigns benefits to 1 organization
I20231227001008 MO Practitioner - Physician Assistant 5991043762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ahs Il Medical Group LLCGroup PAC ID 5496111676, 46 clinicians

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 233-6870

2102 Main St
Scott City, MO 63780-1337
Phone (573) 264-0042

216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181

3071 S Grand Ave
Carthage, MO 64836-7851
Phone (417) 310-9286

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023031651MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC CurrentSince Jan 1, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2102 Main St
Scott City, MO 63780
Phone (573) 264-0042

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

Interoperability endpoints

  • Direct secure messaging: eharri65@yourcarecommunity.org
  • Direct secure messaging: emily.harris.1@28328.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1962974741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "GIDEON",
            "state": "MO",
            "postal_code": "638489253",
            "telephone_number": "573-448-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "GIDEON",
            "state": "MO",
            "postal_code": "638489253",
            "telephone_number": "573-448-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2023031651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140221",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gideon, MO

Sources for this page

Verify at the official NPI Registry.