Anmed Health
Organization Active NPI Family Medicine Physician · Honea Path, SC
NPI 1629025010 · NPPES record last updated May 23, 2025
Key facts
- NPI
- 1629025010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ANMED HEALTH
- Practice address
- 21 S Shirley Ave
Honea Path, SC 29654-1503 - Phone
- (864) 369-0552
- Fax
- (864) 369-1826
- NPI assigned
- May 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Stephen Jan Grigsby
- Title
- Cfo
- Phone
- (864) 512-1109
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 24
Practitioners 16
-
John Mark Baker, MD
-
Jessica Bolden, FNP
-
Stacey G Branyon, NP
-
David Enoch Cothran Jr., RN, FNP-BC
-
Hui-Tzu M Kiang, DO
-
Tonia Locke, FNP
-
Chelsea Thomason Roh, NP-C
-
James Adam Smith, MD
-
Matthew Smith, DO
-
James O. Stumpff, M.D.
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
- Tax ID family
- Anmed Faily Health Cent
Locations
504 E Greer St
Honea Path, SC 29654
Phone (864) 369-0552
331 Antreville Hwy
Iva, SC 29655
Phone (864) 348-6122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
21 S Shirley Ave
Honea Path, SC 29654-1503
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-7879
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG3298 | Other | RAILROAD MEDICARE | |
| GP2684 | Medicaid | SC |
Other names
- AnMed Primary Care - Honea Path
Other providers in Honea Path, SC
- Abiding Grace Home Health Care LLC
- Abiding Grace Home Health Care LLC
- Chandler Joyce Adkins
- Anderson Optometric Associates
- Anderson School District Two
- Anmed Health
- Anmed Health
- Beyond Care, LLC
- Krunal Bhadiyadara
- Bio-Medical Applications of South Carolina, Inc.
All providers in Honea Path, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.