Individual provider Active NPI

Christina L Chandler, PA-C

  • Medical Physician Assistant
  • N Charleston, SC
National Provider Identifier
1013251750
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1855 Issued in SC
Practice address
2880 Tricom St
N Charleston, SC 29406-9171
Phone
(843) 797-5050
Fax
(843) 797-3633
NPI assigned
Nov 19, 2012
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TL1855 SC
Medical Physician Assistant 363AM0700X 1855 SC Primary

Addresses

Primary practice location

2880 Tricom St
N Charleston, SC 29406-9171

Mailing address

2880 Tricom St
N Charleston, SC 29406-9171
Phone (843) 797-5050

Other practice location 1

1106 Chuck Dawley Blvd
Suite 200
MT Pleasant, SC 29464-4183
Phone (843) 849-1551 ext. 112

Other names 1

  • Christina D Lockhart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20121231000188 SC Practitioner - Physician Assistant 5496908337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arcis Healthcare LLCGroup PAC ID 0042448748, 34 clinicians

Practice addresses (Care Compare)

2880 Tricom St
North Charleston, SC 29406-9171
Phone (843) 797-5050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1855SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arcis Healthcare, LLC CurrentSince Jun 1, 2020 Accepting new patients
Arcis Healthcare, LLC Medical CurrentSince Jun 1, 2020 Accepting new patients

Locations

1951 Clements Ferry Rd
Ste 100
Charleston, SC 29492
Phone (843) 797-5050

2880 Tricom St
North Charleston, SC 29406
Phone (843) 797-5050

130 E 3rd North St
Summerville, SC 29483
Phone (843) 797-5050

93 Springview Ln
Unit B
Summerville, SC 29485
Phone (843) 266-4883

Interoperability endpoints

  • Direct secure messaging: christina.chandler.1@7388.direct.athenahealth.com

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, 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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1013251750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 TRICOM ST",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069171",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 TRICOM ST",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069171",
            "telephone_number": "843-797-5050",
            "fax_number": "843-797-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 Chuck Dawley Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294644183",
            "country_code": "US",
            "telephone_number": "843-849-1551 x112",
            "fax_number": "843-884-0629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL1855",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "LOCKHART",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

Verify at the official NPI Registry.