Individual provider Active NPI

Martha Brickey Pandajis, PA-C

  • Medical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1003419128
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110009682 Issued in VA
Practice address
2859 Virginia Beach Blvd Ste 108
Virginia Beach, VA 23452-7622
Phone
(757) 644-4615
Fax
(276) 209-1307
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA14907 TX
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 0110009682 VA Primary

Addresses

Primary practice location

2859 Virginia Beach Blvd Ste 108
Virginia Beach, VA 23452-7622

Mailing address

2859 Virginia Beach Blvd Ste 108
Virginia Beach, VA 23452-7622
Phone (757) 644-4615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110009682VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Hormone Replacement CurrentSince Aug 25, 2025 Accepting new patients
Brazos Medical Center Multi-Specialty Past Accepting new patients

Locations

2859 Virginia Beach Blvd
Ste 108
Virginia Beach, VA 23452
Phone (757) 222-0910

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1003419128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 VIRGINIA BEACH BLVD STE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527622",
            "telephone_number": "757-644-4615",
            "fax_number": "276-209-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 VIRGINIA BEACH BLVD STE 108",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527622",
            "telephone_number": "757-644-4615",
            "fax_number": "276-209-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDAJIS",
        "first_name": "MARTHA",
        "middle_name": "BRICKEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA14907",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110009682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.