Active NPI
Fantasia Izolia Chandler, APRN
- Family Nurse Practitioner
- Orangeburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21694
- Practice address
- 575 Stonewall Jackson Blvd
Orangeburg, SC 29115-7250 - Phone
- (864) 316-8984
- NPI assigned
- Jun 6, 2018
- Last updated
- Oct 15, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21694 | SC | Primary |
| Family Nurse Practitioner | 363LF0000X | 001663 | GA |
Addresses
Primary practice location
575 Stonewall Jackson Blvd
Orangeburg, SC 29115-7250
Mailing address
159 Chanstalas Rd
Salley, SC 29137-9435
Phone (803) 608-8938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5280 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 Adley Way
Greenville, SC 29607-6511
Phone (832) 869-4818
465 Winn Way
Suite 130
Decatur, GA 30030-1722
Phone (832) 869-4818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001663 | GA | MD | Family Nurse Practitioner |
| 21694 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry of Texas PLLC | Family | Current | Accepting new patients |
| SC House Calls Inc | Current | Accepting new patients | |
| Careconnectmd South Carolina P.C. | Current | Accepting new patients | |
| Psgsc MSSP, P.C. | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Psychplus Medical Associates, PLLC | Family | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
465 Winn Way
Ste 130
Decatur, GA 30030
Phone (404) 296-0148
1301 Shiloh Rd NW
Ste 1810
Kennesaw, GA 30144
Phone (470) 428-7087
1510 Whiskey Rd
Ste 2
Aiken, SC 29803
550 Eastgate Dr
Aiken, SC 29803
Phone (803) 643-3694
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
2 Griffith Rd
Greenville, SC 29607
Phone (864) 276-8583
221 Adley Way
Greenville, SC 29607
Phone (661) 378-0517
8595 Pelham Rd
Ste 400
Greenville, SC 29615
Phone (864) 316-8964
1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634
575 Stonewall Jackson Blvd
Orangeburg, SC 29115
Phone (803) 531-5682
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Organizations & group practices 8
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Mount Pleasant, SC
- NPI 1306565973
-
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1417839754
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
dba Psychplus Associates
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
Family, GA, SC
-
- Multi-Specialty Clinic/Center
- Greenville, SC
- NPI 1700357076
-
- Psychiatry Physician
- Greenville, SC
- NPI 1942164157
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1578055471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 CHANSTALAS RD",
"city": "SALLEY",
"state": "SC",
"postal_code": "291379435",
"telephone_number": "803-608-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 STONEWALL JACKSON BLVD",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291157250",
"telephone_number": "864-316-8984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "FANTASIA",
"middle_name": "IZOLIA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "21694",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "001663",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP5280",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.