ANMED PRIMARY CARE - EASLEY
NPI 1700890084
Clinic/Center - Rural Health in Easley, SC

Active since July 29, 2006CLIA 42D1059105 · Waiver
111 W ROPER RD, EASLEY, SC 29640(864) 897-8280(864) 897-8281 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2022, Oct 11, 2018, Apr 20, 2018 (3 updates tracked since 2018).

About Anmed Primary Care - Easley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANMED PRIMARY CARE - EASLEY (NPI 1700890084) is a healthcare organization registered as a rural health in Easley, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 21, 2028 and lists Michael Cunningham, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1700890084
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCANNON MEMORIAL HOSPITAL
Location Address111 W ROPER RDEasley, SC 29640-8805
Mailing AddressPo Box 100174Columbia, SC 29202-3174 · (864) 897-8286 · Fax (864) 878-0035
Fax(864) 897-8281
Organization SubpartYes
Authorized OfficialMichael CunninghamPresident/ceo · (864) 898-1133
Enumeration DateJuly 29, 2006
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1700890084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
111 W ROPER RD, Easley, SC 29640

Other Names 1

Doing Business AsAnmed Primary Care - Easley

Other Identifiers 2

MedicaidGP4560SC
MedicaidRHC171SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anmed Primary Care - Easley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Anmed Primary Care - Easley, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner9
Family Practice7
General Surgery2
Orthopedic Surgery2
Otolaryngology1

Nearest to this location (20)

See all 21
Nurse Practitioner
NPI 1437345675
111 W ROPER RD
Easley, SC 29640
(864) 897-8280
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1740294305
111 W ROPER RD
Easley, SC 29640
(864) 897-8280
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558851485
111 W ROPER RD
Easley, SC 29640
(864) 897-8280
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1740778513
111 W ROPER RD
Easley, SC 29640
(864) 897-8280
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558843664
111 W ROPER RD
Easley, SC 29640
(864) 897-8280
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699114561
300 W FRONT ST
Liberty, SC 29657
(864) 843-5605
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1043738057
123 WG ACKER DR STE B
Pickens, SC 29671
(864) 878-2435
✔ PECOS✔ Accepts Medicare5.9 mi
General Surgery
NPI 1124061445
123 WG ACKER DR SUITE D
Pickens, SC 29671
(864) 898-1360
✔ PECOS✔ Accepts Medicare5.9 mi
Orthopedic Surgery
NPI 1316902950
123 W.G. ACKER DRIVE SUITE C
Pickens, SC 29671
(864) 878-1231
✔ PECOS9.0 mi
Nurse Practitioner
NPI 1447665468
1300 TIGER BLVD
Clemson, SC 29631
(866) 389-2727
✔ PECOS✔ Accepts Medicare15 mi
Otolaryngology
NPI 1932399136
885 TIGER BLVD STE A
Clemson, SC 29631
(864) 897-0390
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1679661748
16 ROBERTS BLVD
Williamston, SC 29697
(864) 847-7323
✔ PECOS16 mi
Nurse Practitioner
NPI 1508621657
300 W BUTLER RD
Mauldin, SC 29662
(864) 277-8300
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1053750257
4144 CLEMSON BLVD
Anderson, SC 29621
(864) 224-3332
✔ PECOS✔ Accepts Medicare19 mi
General Surgery
NPI 1275807026
2000 E GREENVILLE ST SUITE 2500
Anderson, SC 29621
(864) 512-6810
✔ PECOS✔ Accepts Medicare20 mi
Orthopedic Surgery
NPI 1184628570
100 HEALTHY WAY STE 1250
Anderson, SC 29621
(864) 512-6140
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1700290814
100 HEALTHY WAY STE 1200
Anderson, SC 29621
(864) 716-6140
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1669804647
108 MONTGOMERY DR
Anderson, SC 29621
(864) 225-5597
✔ PECOS21 mi
Family Practice
NPI 1205856903
600 N FANT ST
Anderson, SC 29621
(864) 512-2000
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1588243547
19475 OLD JETTON RD STE 200
Cornelius, NC 28031
(704) 384-1775
✔ PECOS✔ Accepts Medicare108 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D1059105

Anmed Primary Care - Easley · Easley, SC
Active · expires Sep 21, 2028
CLIA Number42D1059105
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorDean Trantham
Laboratory Phone(864) 898-1370
Laboratory LocationAnmed Primary Care - Easley111 West Roper Road, Easley, SC 29640
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cannon Memorial Hospital's NPI number?

The NPI number for Cannon Memorial Hospital is 1700890084. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Anmed Primary Care - Easley.

Where is Cannon Memorial Hospital located?

Cannon Memorial Hospital is located at 111 W Roper Rd, Easley, SC 29640. The listed phone number is (864) 897-8280.

What is Cannon Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Cannon Memorial Hospital enrolled in Medicare?

Yes. Cannon Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cannon Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 5 Medicare specialties reassign their Medicare billing to Cannon Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (7) and General Surgery (2). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cannon Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D1059105) is associated with this NPI, valid through September 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cannon Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Cannon Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cannon Memorial Hospital was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.