Ayesha Shavon Hinton Nutt, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18800 Issued in SC

Practice address

1304 Springdale Dr
Clinton, SC 29325-7226

Phone

(864) 833-6287

Fax

(864) 833-0556

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ayesha Shavon Hinton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ayesha.hintonnutt@895667408535556.direct.elationemr.com

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

• Midtown Primary Care

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1023841194
  NPD Authorized official
• Hospice of Laurens County Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Clinton, SC
  • NPI 1275156606
  NPD
• Ingenios Health Co.

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1134426919
  NPD
• Woodruff Road Urgent Care Center, P.C.

  • Primary Care Clinic/Center
  • Powdersville, SC
  • NPI 1205475001
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1275948838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "864-522-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 SPRINGDALE DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257226",
            "telephone_number": "864-833-6287",
            "fax_number": "864-833-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTON NUTT",
        "first_name": "AYESHA",
        "middle_name": "SHAVON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2875",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYESHA",
            "last_name": "HINTON",
            "middle_name": "SHAVON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yahira Heraldez, MSW
• Mark David Herndon, MD
• Dan Hibner, MD
• Elexus Jaide Hightower-Wilson
• Lisa Diana Hill
• Celia Hodges
• Sonja Hoffman, COTA/L
• Sarah Horan, MSAT
• Hospice of Laurens County Inc
• Hospice of Laurens County Inc

• All providers in Clinton, SC
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.