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: August 02, 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, 2026 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

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, 2026
CLIA Number42D1059105
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
111 W ROPER RD
EASLEY, SC 29640
Nurse Practitioner (Family)
111 W ROPER RD
EASLEY, SC 29640
Nurse Practitioner (Family)
111 W ROPER RD
EASLEY, SC 29640
Nurse Practitioner (Family)
111 W ROPER RD
EASLEY, SC 29640
Family Medicine
111 W ROPER RD
EASLEY, SC 29640
Family Medicine
111 W ROPER RD
EASLEY, SC 29640

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.

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, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cannon Memorial Hospital accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare 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.