SAMANTHA TALLIA PIERCE PA-C
NPI 1053806588
Physician Assistant - Medical in Annandale, VA

Q: What is Samantha Pierce's NPI number?

The NPI number for Samantha Pierce is 1053806588. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Q: What is Samantha Pierce's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Pierce was last updated on March 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment

4208 EVERGREEN LN STE 213, ANNANDALE, VA 22003(703) 642-7522 Get Directions Write a Review

NPPES record last updated: March 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2026, Nov 23, 2020, Jun 27, 2018 (3 updates tracked since 2018).

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About Samantha Tallia Pierce Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA TALLIA PIERCE PA-C (NPI 1053806588) is an individual medical provider in Annandale, Virginia and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053806588

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSAMANTHA TALLIA PIERCECredential: PA-C

Location Address4208 EVERGREEN LN STE 213Annandale, VA 22003-3254

Mailing Address4208 Evergreen Ln Ste 213Annandale, VA 22003-3254 · (561) 251-6936

Phone(703) 642-7522

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 27, 2018

Last NPPES UpdateMarch 8, 20263 updates tracked since enumeration

NPPES CertifiedMarch 8, 2026

✔ NPI 1053806588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110-007502 (VA)

4208 EVERGREEN LN STE 213, Annandale, VA 22003

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Tallia Pierce Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638422033

PECOS Enrollment IDI20201208000256

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOMEN FAMILIES FIRST INC.

Family Medicine