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Talia Denay Clark, PA-C

NPI 1295526820ActiveIndividual· Physician Assistant· Mechanicsville, VA

Physician Assistant (PA-C) in Mechanicsville, Virginia, licensed in VA, with an NPI issued in May 2025. Enrolled in Medicare as practitioner - physician assistant. Lists Bon Secours Memorial Regional Medical Center and 1 other hospital as hospital affiliations.

Overview

NPI1295526820
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedMay 14, 2025
Last updated in NPPESMay 14, 2025
Certified by providerMay 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X0110010937VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (VA)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyPhysician Assistant

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Mechanicsville

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