Individual provider Active NPI

Samantha J Pcola, PA-C

  • Medical Physician Assistant
  • Johnstown, PA
National Provider Identifier
1043053127
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA066527 Issued in PA
Practice address
303 Budfield St
Johnstown, PA 15904-3213
Phone
(814) 266-3196
NPI assigned
Jun 17, 2024
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA066527 PA Primary

Addresses

Primary practice location

303 Budfield St
Johnstown, PA 15904-3213

Mailing address

303 Budfield St
Johnstown, PA 15904-3213
Phone (814) 266-3196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127001752 NC Practitioner - Physician Assistant 5496280448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA066527PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 1, 2024 Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

103 Cotton Creek Rd
Star, NC 27356
Phone (910) 226-4970

Interoperability endpoints

  • Direct secure messaging: spcola@goshenmedical.cloudcraftdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1043053127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-266-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043213",
            "telephone_number": "814-266-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PCOLA",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA066527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.