Organization Active NPI

Anmed Health

Doing business as AnMed Health Eastside Internal Medicine

  • Internal Medicine Physician
  • Anderson, SC
National Provider Identifier
1649506965
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANMED HEALTH
Doing business as
AnMed Health Eastside Internal Medicine
Practice address
400 N Fant St
Suite G
Anderson, SC 29621-5720
Phone
(864) 224-2197
Fax
(864) 225-0033
NPI assigned
Oct 21, 2009
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Jan Grigsby
Title
Cfo
Phone
(864) 512-1109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

400 N Fant St
Suite G
Anderson, SC 29621-5720

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 224-2197

Other identifiers 2

IdentifierTypeStateIssuer
CA2830OtherSCRR MEDICARE
DF4920OtherSCRR MEDICARE

Other names 1

  • AnMed Health Eastside Internal Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1649506965",
    "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": "864-224-2197",
            "fax_number": "864-225-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N FANT ST",
            "address_2": "SUITE G",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215720",
            "telephone_number": "864-224-2197",
            "fax_number": "864-225-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANMED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "GRIGSBY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-512-1109"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA2830",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF4920",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AnMed Health Eastside Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.

Verify at the official NPI Registry.