Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emmagrace Harris, PA

Individual provider Surgical Physician Assistant · NPI 1104668680

Emmagrace Harris, PA is a Physician Assistant in Lexington, Kentucky. Qualified in 2024, 2 years ago. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

740 S Limestone Ste C300
Lexington, KY 40536-0284
Phone: (859) 257-5405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC182 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC182 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC182 (KY)

Record details

NPI number1104668680
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 6, 2024
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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