Individual provider Active NPI

Evelina N Pierce, M.D.

  • Dermatology Physician
  • Purchase, NY
National Provider Identifier
1053845594
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
33388 Issued in NH
Practice address
2 Manhattanville Rd
Purchase, NY 10577-2113
Phone
(800) 835-2362
Fax
(850) 854-8992
NPI assigned
Apr 11, 2017
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 33388 NH Primary

Addresses

Primary practice location

2 Manhattanville Rd
Purchase, NY 10577-2113

Mailing address

12 Paces Lakes Overlook
Dallas, GA 30157-1764
Phone (850) 240-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220615000744 GA Practitioner - Dermatology 8123407525 Reassigns benefits to 1 organization
I20240919002297 NH Practitioner - Dermatology 8123407525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33388NHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatopathology Lab of Skin Cancer Specialists, P.C. CurrentSince Jun 6, 2022 Accepting new patients
Aqua Dermatology of Georgia PC Dermatology CurrentSince Jun 6, 2022 Accepting new patients
Adult & Pediatric Dermatology, P.C. Dermatology CurrentSince Nov 1, 2024 Accepting new patients
Skin Wellness Dermatology LC Dermatology CurrentSince Nov 30, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Dermatology PastSince Jun 29, 2025 Accepting new patients
Forefront Dermatology - New Hampshire, PLLC Dermatology Past Accepting new patients

Locations

10 Cloverleaf Dr
Cartersville, GA 30120
Phone (770) 386-1261

1150 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 257-4189

850 Charles Hardy Pkwy
Dallas, GA 30157
Phone (770) 336-8888

835 Cogburn Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 422-5557

835 Cogburn Ave NW
Ste 250
Marietta, GA 30060
Phone (770) 422-8815

2045 Highway 34 E
Newnan, GA 30265
Phone (770) 502-0202

87 McGregor St
Ste 2100
Manchester, NH 03102
Phone (603) 626-7546

55 Mill St
Wolfeboro, NH 03894
Phone (603) 569-3376

Interoperability endpoints

  • Direct secure messaging: evelina.pierce@forefrontdermatology.emadirect.md

Organizations & group practices 6

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1053845594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PACES LAKES OVERLOOK",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571764",
            "telephone_number": "850-240-6888",
            "fax_number": "850-854-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MANHATTANVILLE RD",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772113",
            "telephone_number": "800-835-2362",
            "fax_number": "850-854-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "EVELINA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "33388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

Verify at the official NPI Registry.