Individual provider Active NPI

Daniel W. Grisham Sr., M.D.

  • Internal Medicine Physician
  • Anderson, SC
National Provider Identifier
1073557575
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9540 Issued in SC
Practice address
2000 E Greenville St Ste 2300
Anderson, SC 29621-1721
Phone
(864) 512-5780
Fax
(864) 375-1155
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9540 SC Primary

Addresses

Primary practice location

2000 E Greenville St Ste 2300
Anderson, SC 29621-1721

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5780

Other identifiers 1

IdentifierTypeStateIssuer
095408MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100121000072 SC Practitioner - Internal Medicine 2668514217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

2000 E Greenville St
Anderson, SC 29621-1580

2000 E Greenville St
Suite 3850
Anderson, SC 29621-1774
Phone (864) 512-5780

703 N Fant St
Anderson, SC 29621-1580
Phone (864) 972-0414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9540SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Aug 7, 1998 Accepting new patients
Anmed Health CurrentSince Dec 1, 2009 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Internal Medicine CurrentSince Aug 7, 1998 Accepting new patients
Anmed Health Past Accepting new patients

Locations

2000 E Greenville St
Ste 3850
Anderson, SC 29621
Phone (864) 512-6024

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Ste 2300
Anderson, SC 29621
Phone (864) 224-1232

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

Interoperability endpoints

  • Direct secure messaging: dgrisham9174@direct.anmedhealth.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1073557575",
    "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": "864-512-5780",
            "fax_number": "864-837-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST STE 2300",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211721",
            "telephone_number": "864-512-5780",
            "fax_number": "864-375-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISHAM",
        "first_name": "DANIEL",
        "middle_name": "W.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "9540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095408",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.