ANMED HEALTH — NPI 1124883657 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) in ANDERSON, SC)

CMS-1500 Box 24J / 33a • NPI

1124883657

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208G00000X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)

Box 32 Service Location & ZIP+4

803 N FANT ST STE 3A, ANDERSON, SC, 29621-5718

✓ 9-Digit EDI 837 ZIP+4 (29621-5718)

Practice Phone & Referral Fax

(864) 512-4530

Fax: (864) 512-4540

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1124883657 (ANMED HEALTH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1124883657` (NPI-2 Organization / Facility)
Provider / Legal Name	ANMED HEALTH
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery) NUCC Code: `208G00000X` (Thoracic Surgery (Cardiothoracic Vascular Surgery))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	803 N FANT ST STE 3A, ANDERSON, SC, 29621-5718
Practice Telephone / Fax	Tel: (864) 512-4530 \| Fax: (864) 512-4540
Administrative Mailing Address	PO BOX 100174, COLUMBIA, SC, 29202-3174
Enumeration & Last Sync	Enumerated: 2024-02-14 \| CMS Record Updated: 2025-05-23
Authorized Official	STEPHEN GRIGSBY (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

803 N FANT ST STE 3A, ANDERSON, SC, 29621-5718

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Plain-English Taxonomy & CMS Crosswalk (208G00000X)

What Does Taxonomy Code 208G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208G00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 33 (Physician/Thoracic Surgery) • CMS Code 78 (Physician/Cardiac Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Thoracic Surgery (Cardiothoracic Vascular Surgery) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANMED HEALTH)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208G00000X` — Thoracic Surgery (Cardiothoracic Vascular Surgery) Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Thoracic Surgery (Cardiothoracic Vascular Surgery)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANMED HEALTH (NPI #1124883657)