NPI age
20 years
Enumerated 2006-04-22
● Active
Type 1 · Individual
Charles Crowell Pierce, PA
Pierce is 1 of 101 physician assistant providers in Tyler and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
619 S Fleishel Ave Ste 305
Tyler, TX 757012004
Mailing address
Po Box 846098
Dallas, TX 752846098
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
3131 Troup Hwy
Tyler, TX 757018350
Location 3
619 S Fleishel Ave Ste 327
Tyler, TX 757012019
Location 4
910 E Houston St Ste 330
Tyler, TX 757028368
Location 5
1327 Troup Hwy
Tyler, TX 757014443
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 214077401 | |
| 01 (TX) | 752616977-103 | TRICARE |
| 01 (TX) | 75-2616977-095 | TRICARE |
| 01 (TX) | 824N49 | BCBS |
| 01 (TX) | 752616977006 | TRICARE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.