Organization Active NPI

Midtown Primary Care

  • Primary Care Clinic/Center
  • Greenville, SC
National Provider Identifier
1023841194
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MIDTOWN PRIMARY CARE
Practice address
7 Pointe Cir
Greenville, SC 29615-3505
Phone
(864) 525-5400
NPI assigned
Aug 23, 2024
Last updated
Sep 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Ayesha Shavon Hinton Nutt, NPNPI 1275948838
Title
NP
Phone
(864) 235-6788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7 Pointe Cir
Greenville, SC 29615-3505

Mailing address

100 W Hackney Rd
Greer, SC 29650-2836
Phone (864) 525-5400

National Provider Directory

National Provider Directory

Locations

7 Pointe Cir
Greenville, SC 29615
Phone (864) 235-6788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1023841194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W HACKNEY RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502836",
            "telephone_number": "864-525-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 POINTE CIR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153505",
            "telephone_number": "864-525-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "HINTON NUTT",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_middle_name": "SHAVON",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "864-235-6788",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.