EMMA LEATHAM (PA-C) – Medical Physician Assistant, NPI 1043769326

EMMA LEATHAM (PA-C) is a healthcare provider. based in Spring, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA15983 (TX). The NPI Number for EMMA LEATHAM (PA-C) is 1043769326

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
EMMA LEATHAM (PA-C)
NPI
1043769326
Phone
(346) 674-4000
Address
22407 Holzwarth Rd
Enumeration Date
27 September 2016
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134420000
Graduation Year
2016 (10 years ago)
PAC ID
8325327356
Group Practice PAC ID
9739093527
Professional Enrollment ID
I20250225003986
Address ID
TX770251669HO2727XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for EMMA LEATHAM (PA-C)

  • 22407 Holzwarth Rd

    Spring, TX 773891933

    Phone: (346) 674-4000

    Type: Location

  • 11511 SHADOW CREEK PKWY

    PEARLAND, TX 775847298

    Phone: (713) 442-0000

    Type: Mailing

  • Interlake Oncology, 156, West Avenue, Brockport, Clarkson, Monroe, New York, 14420, United States

    BROCKPORT, NY 144201229

    Phone: (585) 758-7557

    Fax: (525) 637-5626

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161116000197IPhysician AssistantNYTBD
I20250225003986IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77389)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739093527View full group profile
NameSpecialtyState
-TX
-TX
Hospitalist, Internal MedicineTX
N E U R O L O G YTX
D E R M A T O L O G YTX
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseTX
-TX
Physician AssistantTX
Family PracticeTX
Physician AssistantMA

Reviews

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Frequently asked questions

What number should I use to identify EMMA LEATHAM (PA-C) for billing?
Administrative and clinical systems typically use NPI 1043769326 for EMMA LEATHAM (PA-C).
Quick check: is EMMA LEATHAM (PA-C) active?
Public NPPES data shows EMMA LEATHAM (PA-C) with an active NPI status right now.
What type of care does EMMA LEATHAM (PA-C) provide?
EMMA LEATHAM (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to EMMA LEATHAM (PA-C)?
EMMA LEATHAM (PA-C) is associated with Spring, Texas in the same public data insurers reference.
Why is information missing for EMMA LEATHAM (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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