Healthcare Provider Details

I. General information

NPI: 1689285538
Provider Name (Legal Business Name): AUSTIN D DARBYSHIRE FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2020
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1671 BELLE ISLE AVE STE 110J
MOUNT PLEASANT SC
29464-8336
US

IV. Provider business mailing address

229 ATHENS ST
HARTWELL GA
30643-1854
US

V. Phone/Fax

Practice location:
  • Phone: 844-994-6633
  • Fax: 470-300-7913
Mailing address:
  • Phone: 706-376-3957
  • Fax: 706-376-1356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24112
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN216844
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: