TALIA DENAY CLARK PA-C
NPI 1295526820
Physician Assistant in Mechanicsville, VA

Q: What is Talia Clark's NPI number?

The NPI number for Talia Clark is 1295526820. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Q: What is Talia Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Talia Clark was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 14, 2025PECOS Enrolled

8260 ATLEE RD, MECHANICSVILLE, VA 23116(804) 764-6000 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Talia Denay Clark Pa-c NPPES

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

TALIA DENAY CLARK PA-C (NPI 1295526820) is an individual physician assistant in Mechanicsville, Virginia, licensed in Virginia (0110010937) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Bon Secours Memorial Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1295526820

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTALIA DENAY CLARKCredential: PA-C

Location Address8260 ATLEE RDMechanicsville, VA 23116-1844

Mailing Address7 N 8th St Apt 816Richmond, VA 23219-3323 · (757) 642-5039

Phone(804) 764-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 14, 2025

NPPES CertifiedMay 14, 2025

✔ NPI 1295526820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110010937

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8260 ATLEE RD, Mechanicsville, VA 23116

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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 (PECOS)

Talia Denay Clark Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193220937

PECOS Enrollment IDI20250924000308

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490069

Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County

Emergency services Birthing friendly

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number490094

Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DAVID IKEDA M.D.

Anesthesiology