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

Mr. Preston Parker Embrey, PA

Individual provider Surgical Physician Assistant · NPI 1104059765

Mr. Preston Parker Embrey, PA is a Surgical Physician Assistant in Selmer, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

270 E Court Ave
Selmer, TN 38375-2304
Phone: (731) 541-9490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1718 Parr Ave Ste C, Dyersburg, TN 38024-2071 — (731) 286-4445

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1768 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1768 (TN)

Record details

NPI number1104059765
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 31, 2009
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025