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ANMED PRIMARY CARE - LIBERTY
NPI 1902224876
Clinic/Center - Rural Health in Liberty, SC

Active since March 28, 2014CLIA 42D0253095 · Waiver
105 LIBERTY BLVD, LIBERTY, SC 29657(864) 843-9213(864) 843-5634 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2023, Jul 28, 2022, Feb 15, 2017 (3 updates tracked since 2017).

About Anmed Primary Care - Liberty NPPES

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

ANMED PRIMARY CARE - LIBERTY (NPI 1902224876) is a healthcare organization registered as a rural health in Liberty, South Carolina and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Michael Cunningham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902224876
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCANNON MEMORIAL HOSPITAL
Location Address105 LIBERTY BLVDLiberty, SC 29657-1641
Mailing AddressPo Box 100174Columbia, SC 29202-3174 · (864) 897-8286 · Fax (864) 878-0035
Phone(864) 843-9213
Fax(864) 843-5634
Organization SubpartYes
Authorized OfficialMichael CunninghamCeo · (864) 898-1133
Enumeration DateMarch 28, 2014
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1902224876 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
105 LIBERTY BLVD, Liberty, SC 29657
Open in Google Maps ↗

Other Names 1

Doing Business AsAnmed Primary Care - Liberty

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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 42D0253095

Anmed Primary Care - Liberty · Liberty, SC
Active · expires Dec 22, 2027
CLIA Number42D0253095
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. John Randolph
Laboratory Phone(803) 843-9213
Laboratory LocationAnmed Primary Care - Liberty105 Liberty Blvd, Liberty, SC 29657
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 4

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

AUGUSTA B HALL FNP - C
Nurse Practitioner (Family)
105 LIBERTY BLVD
LIBERTY, SC 29657
Pickens County (864) 843-9213
DR. JOHN RANDOLPH M.D.
Family Medicine
105 LIBERTY BLVD
LIBERTY, SC 29657
Pickens County (864) 843-8500
CANNON MEMORIAL HOSPITAL
Family Medicine
105 LIBERTY BLVD
LIBERTY, SC 29657
Pickens County (864) 843-9213
ANMED HEALTH
Obstetrics & Gynecology
105 LIBERTY BLVD
LIBERTY, SC 29657
Pickens County (800) 825-6688

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 1902224876. It was assigned to this organization in the NPPES registry on March 28, 2014. The provider is doing business as Anmed Primary Care - Liberty.

Where is Cannon Memorial Hospital located?

Cannon Memorial Hospital is located at 105 Liberty Blvd, Liberty, SC 29657. The listed phone number is (864) 843-9213.

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 42D0253095) is associated with this NPI, valid through December 22, 2027. 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 June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.