Healthcare Provider Details

I. General information

NPI: 1932986403
Provider Name (Legal Business Name): ASHLEY ANN AUSTIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 MCDONALD AVE
CUTHBERT GA
39840-5829
US

IV. Provider business mailing address

125 MCDONALD AVE
CUTHBERT GA
39840-5829
US

V. Phone/Fax

Practice location:
  • Phone: 229-732-3721
  • Fax: 229-732-6528
Mailing address:
  • Phone: 229-732-3721
  • Fax: 229-732-6528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP288294
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: