Anmed Health
Organization Active NPI Family Medicine Physician · Anderson, SC
NPI 1225399595 · NPPES record last updated Sep 16, 2016
Key facts
- NPI
- 1225399595
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ANMED HEALTH
- Practice address
- 105 Buford Ave
Anderson, SC 29621-3313 - Phone
- (864) 375-9090
- Fax
- (864) 260-0194
- NPI assigned
- Jun 4, 2012
- Organization subpart
- No
Authorized official
- Name
- Christine Pearson
- Title
- VP/Cfo
- Phone
- (864) 512-1109
Corporate family (same tax ID) 24
Practitioners 1
-
Bethany Powers, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| 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 |
National Provider Directory
- Tax ID family
- Anmed Faily Health Cent
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
105 Buford Ave
Anderson, SC 29621-3313
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 375-9090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5927 | Medicaid | SC | |
| DT0100 | Other | SC | RR MEDICARE |
Other names
- AnMed Health Clifton W Straughn, MD
Other providers in Anderson, SC
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- Anmed Health
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- Anmed Health
All providers in Anderson, 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 Sep 16, 2016. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.