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

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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.