Individual provider Active NPI

Fantasia Izolia Chandler, APRN

  • Family Nurse Practitioner
  • Orangeburg, SC
National Provider Identifier
1578055471
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21694 Issued in SC
Practice address
575 Stonewall Jackson Blvd
Orangeburg, SC 29115-7250
Phone
(864) 316-8984
NPI assigned
Jun 6, 2018
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP5280MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180807000117 SC Practitioner - Nurse Practitioner 1951659051 Reassigns benefits to 7 organizations
I20260421002022 GA Practitioner - Nurse Practitioner 1951659051 Reassigns benefits to 2 organizations

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
Psychplus Medical Associates PLLCGroup PAC ID 2668813460, 42 clinicians

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

LicenseStateTypeSpecialty
001663GAMDFamily Nurse Practitioner
21694SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Family CurrentSince Feb 1, 2026 Accepting new patients
SC House Calls Inc CurrentSince Sep 16, 2019 Accepting new patients
Careconnectmd South Carolina P.C. CurrentSince Apr 25, 2024 Accepting new patients
Psgsc MSSP, P.C. CurrentSince Jul 24, 2025 Accepting new patients
SC House Calls Inc CurrentSince Sep 16, 2019 Accepting new patients
Psychplus Medical Associates, PLLC Family CurrentSince Feb 1, 2026 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.

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

Verify at the official NPI Registry.