Active NPI
Martha Brickey Pandajis, PA-C
- Medical Physician Assistant
- Virginia Beach, VA
National Provider Identifier
1003419128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110009682
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | PA14907 | TX | |
| Medical Physician Assistant | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0110009682 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Hormone Replacement | Current | 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.
-
- Clinic/Center
- Virginia Beach, VA
- NPI 1679170062
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.