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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHANDLER ELIZABETH BLACKBURN
NPI 1275476202
Physician Assistant - Surgical in Rock Hill, SC

Active since April 13, 2026PECOS Enrolled
222 HERLONG AVE S, ROCK HILL, SC 29732(803) 329-1234 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Aug 3, 2026, May 28, 2026 and 1 more (4 updates tracked since 2026).

About Chandler Elizabeth Blackburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANDLER ELIZABETH BLACKBURN (NPI 1275476202) is an individual surgical provider in Rock Hill, South Carolina, licensed in South Carolina (6471) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Belfast, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1275476202
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCHANDLER ELIZABETH BLACKBURN
Location Address222 HERLONG AVE SRock Hill, SC 29732-1158
Mailing Address7900 Stevens Mill Rd Ste DMatthews, NC 28104-3006
Phone(803) 329-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 13, 2026
Last NPPES UpdateAugust 10, 20264 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1275476202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in SC · 6471
222 HERLONG AVE S, Rock Hill, SC 29732
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Secondary Practice Location 1

Location 1PO Box 20802Belfast, ME 04915-4105 · Phone (888) 402-7256

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chandler Elizabeth Blackburn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476027087
PECOS Enrollment IDI20260706001849
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIKA CHRISTINE DRUTIS PHARMD
Pharmacist
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
GREGORY ALLEN JONES MD
Radiology (Vascular & Interventional Radiology)
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
DR. JADE REID MD
Emergency Medicine
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
GABRIELLE RIVERS PA-C
Physician Assistant
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
BRIANNA LEE HERNANDEZ MS
Anesthesiologist Assistant
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-6711
AMIR REZA HASHEMI MD
Emergency Medicine
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
DR. NATHANIEL JAMES KESNER D.O.
Internal Medicine
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 329-1234
DR. QAISER TOQEER M.D
Hospitalist
222 HERLONG AVE S
ROCK HILL, SC 29732
York County (803) 324-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandler Blackburn's NPI number?

The NPI number for Chandler Blackburn is 1275476202. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Chandler Blackburn located?

Chandler Blackburn practices at 222 Herlong Ave S, Rock Hill, SC 29732. The listed phone number is (803) 329-1234.

What is Chandler Blackburn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Chandler Blackburn enrolled in Medicare?

Yes. Chandler Blackburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chandler Blackburn was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.