Organization Active NPI

Anmed Health

Doing business as AnMed Primary Care

  • Rural Health Clinic/Center
  • Honea Path, SC
National Provider Identifier
1801500459
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ANMED HEALTH
Doing business as
AnMed Primary Care
Practice address
21 S Shirley Ave
Honea Path, SC 29654-1503
Phone
(864) 512-7879
Fax
(864) 512-7037
NPI assigned
Jan 9, 2023
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

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 names 1

  • AnMed Primary Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230313000806 SC Part A Provider - Rural Health Clinic 1951215243 Practice locations: Honea Path, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801500459. Details of each certification follow.

Rural health clinic certification: CCN 873808

Legal name
ANMED HEALTH
Doing business as
ANMED PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 12, 2023
Last certification
Apr 12, 2023
Ownership / control type
2A
Organization structure
CorporationNon-profit
Incorporated
Oct 12, 1906 in SC
Enrollment address
21 S Shirley Ave
Honea Path, SC 29654-1503

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Anmed Health OB-GYN Associates93 organizations share this tax ID, including this one

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.

View all 24

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John R Hunt Individual Corporate OfficerBoard Member Mar 8, 2013
Christine Pearson Individual Corporate OfficerBoard Member, Cfo Aug 17, 2015
Matthew Patrick Elliott Individual Corporate OfficerBoard Member Jan 1, 2021
Robert Rainey Individual Corporate OfficerBoard Member Mar 8, 2013
George Acker Individual Corporate OfficerDirector Jan 1, 2016
Corporate Director Jan 1, 2016
Melody Franks Individual Corporate OfficerBoard Member Jan 1, 2021
William Kenley Individual Corporate OfficerCeo Sep 21, 2020
W-2 Managing EmployeeCeo Sep 20, 2021
James Boseman Individual Corporate OfficerBoard Member Mar 8, 2013
Clark Anderson Individual Corporate OfficerTreasurer Jan 1, 2017
Emily Deroberts Individual Corporate OfficerBoard Member Jan 1, 2021
Stephen H Hand Individual Corporate OfficerBoard Member Mar 8, 2013
Christian Przirembel Individual Corporate OfficerBoard Member Mar 8, 2013
Syed Malik Individual Corporate OfficerBoard Member Jan 1, 2018

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
AnmedAnderson, SC, CCN 42S027 Hospital Operational/Managerial Control Dec 16, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1801500459",
    "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": "864-512-7879",
            "fax_number": "864-512-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S SHIRLEY AVE",
            "city": "HONEA PATH",
            "state": "SC",
            "postal_code": "296541503",
            "telephone_number": "864-512-7879",
            "fax_number": "864-512-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANMED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AnMed Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AnMed Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honea Path, SC

Sources for this page

Verify at the official NPI Registry.