Individual provider Active NPI

Dean Horacio Trantham

  • Family Medicine Physician
  • Easley, SC
National Provider Identifier
1740778513
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52683 Issued in SC
Practice address
111 W Roper Rd
Easley, SC 29640-8805
Phone
(864) 897-8280
Fax
(864) 897-8281
NPI assigned
Apr 27, 2018
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52683 SC Primary

Addresses

Primary practice location

111 W Roper Rd
Easley, SC 29640-8805

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 897-8280

Other practice location 1

600 N Fant St
Anderson, SC 29621-5704
Phone (864) 512-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200731002601 SC Practitioner - Family Practice 9234489196 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cannon Memorial HospitalGroup PAC ID 8123930666, 30 clinicians

Practice addresses (Care Compare)

111 W Roper Rd
Easley, SC 29640-8805
Phone (864) 897-8280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52683SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Anmed Health Current Accepting new patients
Cannon Memorial Hospital CurrentSince Aug 9, 2021 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Anmed Health Family Medicine Current Accepting new patients
Cannon Memorial Hospital Family Medicine CurrentSince Aug 9, 2021 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Anmed Health Family Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

111 W Roper Rd
Easley, SC 29640
Phone (864) 897-8280

Interoperability endpoints

  • Direct secure messaging: dtrantham30633@direct.anmedhealth.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1740778513",
    "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": "864-897-8280",
            "fax_number": "864-897-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W ROPER RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296408805",
            "telephone_number": "864-897-8280",
            "fax_number": "864-897-8281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Fant St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296215704",
            "country_code": "US",
            "telephone_number": "864-512-2000",
            "fax_number": "864-512-8492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRANTHAM",
        "first_name": "DEAN",
        "middle_name": "HORACIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "52683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.