Individual provider Active NPI

Andrew Michael Chandler, PA-C

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1366268922
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110011121 Issued in VA
Practice address
1925 Glenn Mitchell Dr Ste 100
Virginia Beach, VA 23456-0170
Phone
(757) 689-8430
Fax
(757) 689-8435
NPI assigned
Nov 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X 0110011121 VA Primary

Addresses

Primary practice location

1925 Glenn Mitchell Dr Ste 100
Virginia Beach, VA 23456-0170

Mailing address

1925 Glenn Mitchell Dr Ste 100
Virginia Beach, VA 23456-0170
Phone (757) 689-8430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20251021001090 VA Practitioner - Physician Assistant 0840788055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayview Physician Services PCGroup PAC ID 5597664201, 311 clinicians

Practice addresses (Care Compare)

1925 Glenn Mitchell Dr
Suite 100
Virginia Beach, VA 23456-0170
Phone (757) 689-8430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110011121VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Aug 1, 2025 Accepting new patients
Bayview Physician Services, PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

1925 Glenn Mitchell Dr
Ste 100
Virginia Beach, VA 23456
Phone (757) 689-8430

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1366268922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 GLENN MITCHELL DR STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560170",
            "telephone_number": "757-689-8430",
            "fax_number": "757-689-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 GLENN MITCHELL DR STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560170",
            "telephone_number": "757-689-8430",
            "fax_number": "757-689-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-28",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.