Active NPI
Anmed Health
Doing business as AnMed Health Carolina Kids
- Pediatrics Physician
- Clemson, SC
National Provider Identifier
1396041489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ANMED HEALTH
- Doing business as
- AnMed Health Carolina Kids
- Practice address
- 885 Tiger Blvd
Clemson, SC 29631-1480 - Phone
- (864) 888-3020
- Fax
- (864) 888-8585
- NPI assigned
- Feb 7, 2011
- Last updated
- Jul 21, 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 Pearson
- Title
- VP Finance
- Phone
- (864) 512-1109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | SC | Primary |
Addresses
Primary practice location
885 Tiger Blvd
Clemson, SC 29631-1480
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 888-3020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP5614 | Medicaid | SC |
Other names 1
- AnMed Health Carolina Kids
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 |
National Provider Directory
National Provider Directory- Tax ID family
- Anmed Health Clemson Family Medicine
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
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
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
dba AnMed Pulmonary & Sleep Medicine
- Pulmonary Disease Physician
- Anderson, SC
- NPI 1255632683
-
dba AnMed Health Internal Medicine
- Internal Medicine Physician
- Anderson, SC
- NPI 1255740882
-
dba AnMed Health Arrhythmia Specialists
- Clinical Cardiac Electrophysiology Physician
- Clemson, SC
- NPI 1275800492
-
dba AnMed Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Anderson, SC
- NPI 1366853392
Locations
801 E Greenville St
Anderson, SC 29621
Phone (864) 261-8000
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Pediatrics Physician
- Anderson, SC
- NPI 1407876477
-
- Family Nurse Practitioner
- Anderson, SC
- NPI 1205805074
-
- Family Nurse Practitioner
- Anderson, SC
- NPI 1578532347
-
- Internal Medicine Physician
- Anderson, SC
- NPI 1598714305
-
- Family Medicine Physician
- Anderson, SC
- NPI 1326148529
-
- Family Medicine Physician
- Belmont, NC
- NPI 1629539671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1396041489",
"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": "864-888-3020",
"fax_number": "864-888-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 TIGER BLVD",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296311480",
"telephone_number": "864-888-3020",
"fax_number": "864-888-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANMED HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-07",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "864-512-1109"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP5614",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AnMed Health Carolina Kids",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Clemson, SC
- Channing Nathaniel Anderson, LPC
- Angela Hebert Hayden NP (Foothills Nurse Practitioner)
- Anmed Health (AnMed CareConnect - Clemson)
- Anmed Health (AnMed Health Oncology and Hematology Specialists)
- Anmed Health (AnMed Health Arrhythmia Specialists)
- Anmed Health (AnMed Health Clemson OB-GYN)
- Anmed Health (AnMed - Clemson)
- Anmed Health (AnMed Pediatric Therapy)
- Anmed Health (AnMed Health Carolina Cardiology)
- Anmed Health (AnMed Clemson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.