John A. Chandler, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

639 Issued in GA

Practice address

631 Professional Drive
Suite 200
Lawrenceville, GA 30046-3367

Phone

(770) 579-1894

Fax

(770) 579-1899

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Peachatree Cardiovascular & Thoracic Surgeons, P.a.

  • Specialist
  • Atlanta, GA
  • NPI 1689639080
  NPD (past)
• Peachtree Cardiovascular & Thoracic Surgeons PA

  • Critical Care Medicine Nurse Practitioner
  • Atlanta, GA
  • NPI 1639484132
  NPD (past)
• Peachtree Cardiovascular Surgeons at Saint Joseph's LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Atlanta, GA
  • NPI 1093021172
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1639226178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930223",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311930223",
            "telephone_number": "770-579-1894",
            "fax_number": "770-579-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DRIVE",
            "address_2": "SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463367",
            "telephone_number": "770-579-1894",
            "fax_number": "770-579-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "JOHN",
        "middle_name": "A.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10000095B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970005493",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Waits Chalmers, PHD, APRN-BC
• Hannah Ruth Chambers, FNP-BC
• Teshawan Shaquana Chambers
• Viviana Chan Chang
• Russell Chan, DO
• Rhashida Monique Chandler
• Scott Hubert Chandler, M.D.
• I-Wen Chang, M.D.
• Kate Chang
• Margaret Y. Chang, M.D.

• Surgical Physician Assistant in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.