Individual provider Active NPI

Darlene Arnette Fludd, FNP

  • Family Nurse Practitioner
  • Georgetown, SC
National Provider Identifier
1245320811
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 2523 Issued in SC
Practice address
2482 Powell Rd
Georgetown, SC 29440-8590
Phone
(843) 887-3274
Fax
(843) 887-3817
NPI assigned
Oct 13, 2006
Last updated
Mar 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN 2523 SC Primary

Addresses

Primary practice location

2482 Powell Rd
Georgetown, SC 29440-8590

Mailing address

PO Box 608
MC Clellanville, SC 29458-0608
Phone (843) 887-3274

Other identifiers 2

IdentifierTypeStateIssuer
NP1182MedicaidSC
APN-2523OtherSCADV.PRACTICE RN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080215000694 SC Practitioner - Nurse Practitioner 7113000944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clemson UniversityGroup PAC ID 1850393786, 8 clinicians

Practice addresses (Care Compare)

1181 Hutto St
Orangeburg, SC 29118-1467
Phone (803) 516-4227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2523SCMDOccupational Therapist
APN 2523SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clemson University Family CurrentSince Aug 6, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 6, 2023 Accepting new patients
Clemson University Family PastSince Aug 3, 2025 Accepting new patients

Locations

101 Edwards Hall
Clemson, SC 29634
Phone (864) 656-3076

201 Epsilon Zeta Rd
Clemson, SC 29634
Phone (864) 656-3076

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

1181 Hutto St
Orangeburg, SC 29118
Phone (803) 531-1312

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1245320811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "MC CLELLANVILLE",
            "state": "SC",
            "postal_code": "294580608",
            "telephone_number": "843-887-3274",
            "fax_number": "843-887-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 POWELL RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294408590",
            "telephone_number": "843-887-3274",
            "fax_number": "843-887-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUDD",
        "first_name": "DARLENE",
        "middle_name": "ARNETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN 2523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1182",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADV.PRACTICE RN",
            "identifier": "APN-2523",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.