Active NPI
Anmed Health
Doing business as AnMed
- Addiction Medicine (Psychiatry & Neurology) Physician
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- Legal business name
- ANMED HEALTH
- Doing business as
- AnMed
- Practice address
- 2000 E Greenville St FL 3
Anderson, SC 29621-1580 - Phone
- (864) 512-1000
- Fax
- (864) 512-1823
- NPI assigned
- Mar 17, 2010
- Last updated
- Oct 20, 2022
- 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
- Christine M Pearson
- Title
- Chief Financial Officer
- Phone
- (864) 512-1109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | SC | Primary |
Addresses
Primary practice location
2000 E Greenville St FL 3
Anderson, SC 29621-1580
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-1417
Other practice location 1
800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400275 | Medicaid | SC |
Other names 1
- AnMed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315000478 | SC | Part B Supplier - Clinic/Group Practice | 1951215243 |
Receives reassigned benefits from 127 practitioners 2 other NPIs on this enrollment Practice locations: Anderson, SC |
| O20111219000294 | SC | Part A Provider - Hospital | 1951215243 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Anderson, SC |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1164746392. Details of each certification follow.
Hospital certification: CCN 42S027
- Legal name
- ANMED HEALTH
- Doing business as
- ANMED
- Organization structure
- Corporation
- Incorporated
- Oct 12, 1906 in SC
- Enrollment address
- 2000 E Greenville St
FL 3
Anderson, SC 29621-1580 - Hospital subgroups
- Psychiatric unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
Other NPIs with the same Medicare PAC ID 11
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Impressions Appearance Shoppe
- Durable Medical Equipment & Medical Supplies
- Anderson, SC
- NPI 1083640940
1951215243
-
dba AnMed Primary Care - Iva
- Rural Health Clinic/Center
- Iva, SC
- NPI 1619914983
1951215243
-
dba AnMed Health Westside Family Medicine
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
1951215243
-
dba Anmed North Campus
- Psychiatric Hospital Unit
- Anderson, SC
- NPI 1730110347
1951215243
-
dba AnMed Cardiology
- Cardiovascular Disease Physician
- Anderson, SC
- NPI 1730470592
1951215243
-
dba AnMed Primary Care
- Rural Health Clinic/Center
- Honea Path, SC
- NPI 1801500459
1951215243
-
dba AnMed Primary Care - Hartwell
- Family Medicine Physician
- Hartwell, GA
- NPI 1588611909
1951215243
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Anmed North Campus
- Psychiatric Hospital Unit
- Anderson, SC
- NPI 1730110347
O20111219000294
-
dba AnMed CareConnect - Anderson
- Family Medicine Physician
- Anderson, SC
- NPI 1871914572
O20040315000478
National Provider Directory
National Provider DirectoryLocations
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| John R Hunt | Corporate Director | Dec 16, 2011 | |
| Jane Mudd | Corporate Director | Dec 16, 2011 | |
| Christine Pearson | Corporate Officer | Aug 17, 2015 | |
| Corporate Director | Aug 17, 2015 | ||
| W-2 Managing Employee | Aug 17, 2015 | ||
| Anne G Cook | Corporate Director | Jul 1, 2016 | |
| Terence J Roberts | Corporate Director | Jul 1, 2016 | |
| Anmed Health | Operational/Managerial Control | Dec 16, 2011 | |
| William Kibler | Corporate Director | Dec 16, 2011 | |
| Robert Rainey | Corporate Director | Dec 16, 2011 | |
| George Acker | Corporate Director | Jul 1, 2016 | |
| William Kenley | Corporate Officer | Sep 21, 2020 | |
| Corporate Director | Sep 21, 2020 | ||
| W-2 Managing Employee | Sep 21, 2020 | ||
| James Boseman | Corporate Director | Dec 16, 2011 | |
| Clark Anderson | Corporate Director | Jan 1, 2017 | |
| Evans Whitaker | Corporate Director | Jan 1, 2017 | |
| Stephen H Hand | Corporate Director | Dec 16, 2011 | |
| Christian Przirembel | Corporate Director | Dec 16, 2011 | |
| Syed Malik | Corporate Director | Jan 1, 2018 |
Owners & managing parties with NPI records 15
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Impressions Appearance Shoppe
- Durable Medical Equipment & Medical Supplies
- Anderson, SC
- NPI 1083640940
Operational/Managerial Control
-
dba AnMed Home Health Agency
- Home Health Agency
- Anderson, SC
- NPI 1376579474
Operational/Managerial Control
-
dba AnMed
- General Acute Care Hospital
- Anderson, SC
- NPI 1417919531
Operational/Managerial Control
-
dba AnMed - Clemson
- Family Medicine Physician
- Clemson, SC
- NPI 1427005727
Operational/Managerial Control
-
dba AnMed Primary Care - Iva
- Rural Health Clinic/Center
- Iva, SC
- NPI 1619914983
Operational/Managerial Control
-
dba AnMed Health Westside Family Medicine
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
Operational/Managerial Control
-
dba AnMed
- Emergency Medicine Physician
- Anderson, SC
- NPI 1710918321
Operational/Managerial Control
-
dba Anmed North Campus
- Psychiatric Hospital Unit
- Anderson, SC
- NPI 1730110347
Operational/Managerial Control
-
dba AnMed Cardiology
- Cardiovascular Disease Physician
- Anderson, SC
- NPI 1730470592
Operational/Managerial Control
-
dba AnMed Primary Care
- Rural Health Clinic/Center
- Honea Path, SC
- NPI 1801500459
Operational/Managerial Control
-
- Sleep Medicine (Internal Medicine) Physician
- Anderson, SC
- NPI 1144225566
Corporate Director
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Anmed | Hospital | Operational/Managerial Control | Dec 16, 2011 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Anmed North Campus
- Psychiatric Hospital Unit
- Anderson, SC
- NPI 1730110347
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 129
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
- Iva, SC
- NPI 1699979310
-
- Nurse Practitioner
- Anderson, SC
- NPI 1477311710
-
- Family Medicine Physician
- Anderson, SC
- NPI 1952939001
-
- Family Medicine Physician
- Anderson, SC
- NPI 1760423339
-
- Psychiatry Physician
- Anderson, SC
- NPI 1144338401
-
- Family Medicine Physician
- Laurens, SC
- NPI 1346622883
Single Specialty
-
- Primary Care Nurse Practitioner
- Anderson, SC
- NPI 1144754680
-
- Psychiatry Physician
- Greenville, SC
- NPI 1568877488
-
- Pediatrics Physician
- Anderson, SC
- NPI 1407876477
-
- Family Medicine Physician
- Anderson, SC
- NPI 1508444803
-
- Family Nurse Practitioner
- Honea Path, SC
- NPI 1801837489
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Greenville, SC
- NPI 1881131829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666224000000",
"number": "1164746392",
"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": "864-512-1417",
"fax_number": "864-512-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E GREENVILLE ST FL 3",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211580",
"telephone_number": "864-512-1000",
"fax_number": "864-512-1823"
}
],
"practiceLocations": [
{
"address_1": "800 N Fant St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296215708",
"country_code": "US",
"telephone_number": "864-512-1810",
"fax_number": "864-512-1805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANMED HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-17",
"last_updated": "2022-10-20",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "864-512-1109"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400275",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AnMed",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AnMed",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anderson, SC
- Anmed Health (AnMed Primary Care - Lakeside)
- Anmed Health (Impressions Appearance Shoppe)
- Anmed Health (AnMed Orthopedics & Sports Medicine)
- Anmed Health (AnMed Supportive Care)
- Anmed Health (AnMed Cardiothoracic Surgery)
- Anmed Health (AnMed Urology)
- Anmed Health (AnMed Psychiatry)
- Anmed Health (AnMed)
- Anmed Health (AnMed)
- Anmed Health (AnMed Internal Medicine - Anderson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.