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

Austin Harbor Black, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1245017052

Austin Harbor Black, FNP-BC is a Nurse Practitioner in Mantachie, Mississippi. Qualified in 2023, 3 years ago. Practices with Mantachie Rural Health Care, Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

5681 Highway 363
Mantachie, MS 38855-7632
Phone: (662) 282-4226
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 906272 (MS)

Record details

NPI number1245017052
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mantachie Rural Health Care, Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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