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

Mrs. Shawnta Senice Gandy

Individual provider Registered Nurse · NPI 1366851321

Mrs. Shawnta Senice Gandy is a Nurse Practitioner in Petal, Mississippi. Qualified in 2014, 12 years ago. Practices with Minor Med Care, LLC, a 81-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014
Specialties on file
2

Practice location Address checks out

27 Candelabra St
Petal, MS 39465-9008
Phone: (601) 620-8011
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R883735 (MS)
Registered Nurse Taxonomy 163W00000X · Licence R883735 (MS)

Record details

NPI number1366851321
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 4, 2014
Last updated in NPPESOctober 5, 2015
Mailing address27 Candelabra St, Petal, MS 39465-9008

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Minor Med Care, Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Petal