Individual provider Active NPI

Michelle Clayton Benton, NP

  • Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1043976160
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22730 Issued in SC
Practice address
8 Halehaven Dr
Simpsonville, SC 29681-4856
Phone
(864) 230-0721
NPI assigned
Nov 12, 2021
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22730 SC
Nurse Practitioner 363L00000X 22730 SC Primary

Addresses

Primary practice location

8 Halehaven Dr
Simpsonville, SC 29681-4856

Mailing address

8 Halehaven Dr
Simpsonville, SC 29681-4856
Phone (864) 230-0721

Other practice location 1

255 Enterprise Blvd Ste 101
Greenville, SC 29615-3530
Phone (864) 454-8120

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
I20240729002544 SC Practitioner - Nurse Practitioner 4284170044 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 9, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 9, 2025 Accepting new patients
Legacy Physiatry CurrentSince May 19, 2024 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

255 Enterprise Blvd
Greenville, SC 29615
Phone (864) 454-0888

255 Enterprise Blvd
Ste 101
Greenville, SC 29615
Phone (864) 297-4929

3372 Laurens Rd
Greenville, SC 29607
Phone (864) 537-4600

Interoperability endpoints

  • Direct secure messaging: mbenton854060@direct.ghs.myhfn.org

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": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1043976160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HALEHAVEN DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814856",
            "telephone_number": "864-230-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HALEHAVEN DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814856",
            "telephone_number": "864-230-0721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Enterprise Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153530",
            "country_code": "US",
            "telephone_number": "864-454-8120",
            "fax_number": "864-454-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTON",
        "first_name": "MICHELLE",
        "middle_name": "CLAYTON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22730",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.