Active NPI
Mia T. Chandler, M.D., M.P.H.
- Pediatric Rheumatology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- License
- 271359
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-5724 - Phone
- (336) 713-4500
- Fax
- (336) 713-4501
- NPI assigned
- Mar 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rheumatology Physician | 2080P0216X | 271359 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-5724
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 713-0947
Other practice location 1
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6117
Other names 1
- Mia Vatrice Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Holyoke Pediatric Associates, LLP | Pediatrics | Current | Accepting new patients |
| Children'S Hospital Pediatric Associates, Inc | Pediatrics | Current | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
150 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 536-2393
84 Willimansett St
South Hadley, MA 01075
Phone (413) 533-8501
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- mchandler27957@direct.bostonchildrens.org
- mchandler3011144@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
-
- Pediatrics Physician
- Holyoke, MA
- NPI 1568439818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1982021341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-713-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271575724",
"telephone_number": "336-713-4500",
"fax_number": "336-713-4501"
}
],
"practiceLocations": [
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "617-355-6117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANDLER",
"first_name": "MIA",
"middle_name": "T.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "MA",
"license": "271359",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIA",
"last_name": "TAYLOR",
"middle_name": "VATRICE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.