Anmed Health
Organization Active NPI Family Medicine Physician · Williamston, SC
NPI 1124065057 · NPPES record last updated May 23, 2025
Key facts
- NPI
- 1124065057
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ANMED HEALTH
- Practice address
- 16 Roberts Blvd
Williamston, SC 29697-1136 - Phone
- (864) 847-7323
- Fax
- (864) 847-7543
- NPI assigned
- May 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Stephen Jan Grigsby
- Title
- Cfo
- Phone
- (864) 512-1109
Other NPIs on the same Medicare enrollment 4
Practitioners 12
-
John Mark Baker, MD
-
Jessica Bolden, FNP
-
Lisa Bryant, APRN
-
Kimberly J Hair, APRN
-
Matthew Roehrs, MD
-
Dorenda Gregg Truesdale, M.D.
-
Elizabeth Anne Stuart Whitman, FNP-BC, DNP
-
Ashley McNeal, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0253317 | Anmed Primary Care - Williamston | Accreditation | Dec 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040723000885 | SC | Part B Supplier - Clinic/Group Practice | 1951215243 |
Receives reassigned benefits from 168 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clemson, SC; Honea Path, SC; Iva, SC; Williamston, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
16 Roberts Blvd
Williamston, SC 29697-1136
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-5800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK3476 | Other | RAILROAD MEDICARE | |
| GP3246 | Medicaid | SC |
Other names
- AnMed Primary Care - Williamston
Other providers in Williamston, SC
- Ambucare Ambulance LLC.
- Anderson County School District One
- Anderson Optometric Associates
- Anderson School District One
- Anmed Health - Williamston Pharmacy
- Anmed Health Services, Inc
- Kate Morley Beckish
- Blue Chip Therapy
- Laurel Brooks Brown
All providers in Williamston, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.