NPIMap

Individual provider Active NPI

Stacey G Branyon, NP

  • Family Nurse Practitioner
  • Honea Path, SC
National Provider Identifier
1801837489
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1125 Issued in SC
Practice address
21 S Shirley Ave
Honea Path, SC 29654-1503
Phone
(864) 369-0552
Fax
(864) 369-1826
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed Health 348 clinicians

Practice addresses (Care Compare)

21 S Shirley Ave
Honea Path, SC 29654-1503
Phone (864) 369-0552

Hospital & facility affiliations

  • Home Health Services of Self Regional Healthcare Home health agency, Greenwood, SC, CCN 427018
  • Centerwell Home Health Home health agency, Anderson, SC, CCN 427846
  • Anmed Health Hospital, Anderson, SC, CCN 420027
  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100223000662 SC Practitioner - Nurse Practitioner 2769526144 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1125SCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince Oct 6, 2007 Accepting new patients
Anmed Health CurrentSince Oct 6, 2007 Accepting new patients
Anmed Health CurrentSince Sep 12, 2015 Accepting new patients
Anmed Health Past Accepting new patients

Locations

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

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

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

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

21 S Shirley Ave
Honea Path, SC 29654
Phone (864) 369-0552

16 Roberts Blvd
Williamston, SC 29697
Phone (864) 512-5800

Interoperability endpoints

  • Direct secure messaging: sbranyon8223@direct.anmedhealth.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1125 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

21 S Shirley Ave
Honea Path, SC 29654-1503

Mailing address

21 S Shirley Ave
Honea Path, SC 29654-1503
Phone (864) 512-7879

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
N90647MedicaidSC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2022.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1801837489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "864-369-0552",
            "fax_number": "864-369-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANYON",
        "first_name": "STACEY",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N90647",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honea Path, SC

Sources for this page

Verify at the official NPI Registry.