Individual provider Active NPI

Chandler Coleman Robertson, PA-C

  • Physician Assistant
  • Germantown, TN
National Provider Identifier
1013435718
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6285 Issued in TN
Practice address
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone
(901) 759-5443
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 6637 TN
Physician Assistant 363A00000X 6285 TN Primary

Addresses

Primary practice location

1400 S Germantown Rd
Germantown, TN 38138-2205

Mailing address

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-5443

Other identifiers 1

IdentifierTypeStateIssuer
Q099116MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250107003204 MS Practitioner - Physician Assistant 6507394301 Reassigns benefits to 1 organization
I20250115000684 TN Practitioner - Physician Assistant 6507394301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians

Practice addresses (Care Compare)

11851 Will Harris Dr
Arlington, TN 38002-1039
Phone (901) 759-3100

1211 Union Ave
Suite 500
Memphis, TN 38104-6656
Phone (901) 759-3100

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

1900 W Poplar Ave
Collierville, TN 38017-0605
Phone (901) 759-3100

585 S Mendenhall Rd
Memphis, TN 38117-4215
Phone (901) 759-3100

6760 Goodman Rd
Suite 110
Olive Branch, MS 38654-7056
Phone (901) 759-3100

7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196

7887 Wolf River Blvd
Germantown, TN 38138-1718
Phone (901) 759-3100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6285TNMDPharmacist
6637TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Clinic PC CurrentSince Nov 4, 2024 Accepting new patients
Campbell Clinic, PC Physician Assistant CurrentSince Dec 20, 2024 Accepting new patients
Titan Orthopedics of Memphis, PLLC CurrentSince Nov 4, 2024 Accepting new patients
CC Bpci PLC Past Accepting new patients
Campbell Clinic Past Accepting new patients

Locations

7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196

11851 Will Harris Dr
Arlington, TN 38002
Phone (901) 430-8263

1900 W Poplar Ave
Collierville, TN 38017
Phone (901) 759-5491

1211 Union Ave
Ste 500
Memphis, TN 38104
Phone (901) 759-3275

7887 Wolf River Blvd
Memphis, TN 38138
Phone (901) 759-3180

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

585 S Mendenhall Rd
Memphis, TN 38117

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14704/brand/1/csg/1/fhir/r4
  • Direct secure messaging: chandler.robertson.1@1366.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1013435718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382205",
            "telephone_number": "901-759-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GERMANTOWN RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382205",
            "telephone_number": "901-759-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CHANDLER",
        "middle_name": "COLEMAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6637",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q099116",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.