Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dakotha Shea Chandler

Individual provider Nurse Practitioner · NPI 1780386649

Dakotha Shea Chandler is a Nurse Practitioner in Fuquay Varina, North Carolina. Qualified in 2022, 4 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and North Carolina.

Years since qualifying
4
Licensed in
CO, NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1617 N Main St Ste 101
Fuquay Varina, NC 27526-9021
Phone: (984) 215-6595
Fax: (984) 215-6996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 E Boulder St, Colorado Springs, CO 80909-5533 — (719) 365-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5022589 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence APN.0998515-NP (CO)

Record details

NPI number1780386649
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fuquay Varina