MRS. DUSTIN LEIGH SHANDY LPC
NPI 1003221144
Counselor - Mental Health in Dacula, GA
About Mrs. Dustin Leigh Shandy Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DUSTIN LEIGH SHANDY LPC (NPI 1003221144) is an individual mental health provider in Dacula, Georgia, licensed in Georgia (LPC014155) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clarksville, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Dustin Leigh Shandy Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Dustin Shandy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dacula, GA 30019
- Reassigned Medicare billing, Georgia enrollment
- 7 clinicians in this Medicare group
Oviedo, FL 32765
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DACULA, GA 30019
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 Dustin Shandy's NPI number?
The NPI number for Dustin Shandy is 1003221144. It was assigned to this individual provider in the NPPES registry on June 27, 2014. The provider is also known as Mrs. Dusty Shandy Lpc.
Where is Dustin Shandy located?
Dustin Shandy practices at 3611 Braselton Hwy Ste 201, Dacula, GA 30019. The listed phone number is (678) 280-1390.
What is Dustin Shandy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Dustin Shandy enrolled in Medicare?
Yes. Dustin Shandy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dustin Shandy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Shandy reassigns Medicare benefits to 2 organizations: Trifecta Health, LLC (Dacula, GA) and Trifecta Health Of Florida LLC (Oviedo, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dustin Shandy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dustin Shandy accept?
Health plans from Alliant Health Plans, Inc., Oscar Health, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Dustin Shandy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dustin Shandy was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mrs. Dustin Leigh Shandy, LPC · NPI 1003221144
Mental Health provider in Dacula, Georgia. Individual provider, active in the CMS NPPES registry since June 27, 2014.
## Identity
- **NPI:** 1003221144 (Entity type: Individual)
- **Enumerated:** June 27, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC014155 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3611 BRASELTON HWY STE 201, Dacula, GA 30019-4673
- **Phone:** (678) 280-1390
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trifecta Health, LLC (NPI 1538706916, Dacula, GA); Trifecta Health Of Florida LLC (NPI 1730026188, Oviedo, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003221144) · Data from the CMS NPPES public registry.