Active NPI
Anmed Health
Doing business as AnMed Primary Care - Lakeside
- Family Medicine Physician
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ANMED HEALTH
- Doing business as
- AnMed Primary Care - Lakeside
- Practice address
- 4120 Highway 24
Anderson, SC 29626-5321 - Phone
- (864) 512-5830
- Fax
- (864) 224-4999
- NPI assigned
- Nov 2, 2010
- Last updated
- May 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Jan Grisgby
- Title
- Cfo
- Phone
- (864) 512-1109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4120 Highway 24
Anderson, SC 29626-5321
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5556 | Medicaid | SC |
Other names 1
- AnMed Primary Care - Lakeside
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040130000302 | SC | Part B Supplier - Clinic/Group Practice | 1951215243 |
Receives reassigned benefits from 393 practitioners This NPI is an additional NPI on the enrollment Practice locations: Anderson, SC; Central, SC; Clemson, SC; Liberty, SC; Pelzer, SC; Pendleton, SC; Piedmont, SC; Seneca, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0963043 | Anmed Primary Care - Lakeside | Provider-performed microscopy | Jul 20, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Anmed Health OB-GYN Associates
Organizations with this tax ID in the same state 15
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba AnMed Primary Care-Family Medicine Residency
- Family Medicine Physician
- Anderson, SC
- NPI 1003841461
-
dba AnMed Health Oncology and Hematology Specialists
- Gynecologic Oncology Physician
- Clemson, SC
- NPI 1053667816
-
dba Impressions Appearance Shoppe
- Durable Medical Equipment & Medical Supplies
- Anderson, SC
- NPI 1083640940
-
dba AnMed Supportive Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Anderson, SC
- NPI 1114311081
-
dba AnMed Health Clifton W Straughn, MD
- Family Medicine Physician
- Anderson, SC
- NPI 1225399595
-
dba AnMed Health Medical Group Multispecialty Practices
- Interventional Cardiology Physician
- Anderson, SC
- NPI 1245999044
Locations
4120 Highway 24
Anderson, SC 29626
Phone (864) 224-4003
414 N Fant St
Anderson, SC 29621
Phone (203) 247-9535
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Family Medicine Physician
- Anderson, SC
- NPI 1295183382
-
- Family Medicine Physician
- Anderson, SC
- NPI 1073562971
-
- Infectious Disease Physician
- Anderson, SC
- NPI 1134357692
-
- Family Medicine Physician
- Anderson, SC
- NPI 1164984431
-
- Family Medicine Physician
- Anderson, SC
- NPI 1437192077
-
- Family Medicine Physician
- Anderson, SC
- NPI 1952370728
-
- Family Nurse Practitioner
- Anderson, SC
- NPI 1316318454
-
- Family Medicine Physician
- Anderson, SC
- NPI 1396727574
-
- Internal Medicine Physician
- Anderson, SC
- NPI 1659401669
-
- Primary Care Nurse Practitioner
- Anderson, SC
- NPI 1548638695
-
- Physician Assistant
- Hartwell, GA
- NPI 1992135008
-
- Nurse Practitioner
- Snellville, GA
- NPI 1942769666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747958400000",
"number": "1023318383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100174",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292023174",
"telephone_number": "864-512-5830",
"fax_number": "864-224-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 HIGHWAY 24",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296265321",
"telephone_number": "864-512-5830",
"fax_number": "864-224-4999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANMED HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-02",
"last_updated": "2025-05-23",
"certification_date": "2025-05-23",
"status": "A",
"authorized_official_last_name": "GRISGBY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "JAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "864-512-1109"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP5556",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AnMed Primary Care - Lakeside",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anderson, SC
- Anmed Encompass Health Rehabilitation Hospital, LLC (AnMed Health Rehabilitation Hospital)
- Anmed Enterprises Inc - Upstate Endoscopy Center Inc LLC (Upstate Endoscopy)
- Anmed Health (AnMed)
- Anmed Health (AnMed Primary Care-Family Medicine Residency)
- Anmed Health (AnMed OBGYN - Carolina)
- Anmed Health (Impressions Appearance Shoppe)
- Anmed Health (AnMed Orthopedics & Sports Medicine)
- Anmed Health (AnMed Supportive Care)
- Anmed Health (AnMed Cardiothoracic Surgery)
- Anmed Health (AnMed)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.