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LIFESTYLE CLINIC OF SELF MEDICAL GROUP
NPI 1013570910
Family Medicine in Greenwood, SC

Active since April 16, 2019
410 EPTING AVE, GREENWOOD, SC 29646(864) 725-7880(864) 725-7875 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2021, Apr 16, 2019 (2 updates tracked since 2019).

About Lifestyle Clinic Of Self Medical Group NPPES

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

LIFESTYLE CLINIC OF SELF MEDICAL GROUP (NPI 1013570910) is a healthcare organization registered as a family medicine in Greenwood, South Carolina and active in the NPI registry since April 2019. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1013570910
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELF MEDICAL GROUP
Location Address410 EPTING AVEGreenwood, SC 29646-4040
Mailing Address410 Epting AveGreenwood, SC 29646-4040 · (864) 725-7880 · Fax (864) 725-7875
Phone(864) 725-7880
Fax(864) 725-7875
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateApril 16, 2019
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1013570910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
410 EPTING AVE, Greenwood, SC 29646
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Other Names 1

Other NameLifestyle Clinic Of Self Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

SELF MEDICAL GROUP
Nurse Practitioner
410 EPTING AVE
GREENWOOD, SC 29646
Greenwood County (864) 725-5326
JASMINE S TINSLEY APRN
Nurse Practitioner (Family)
410 EPTING AVE
GREENWOOD, SC 29646
Greenwood County (864) 725-5326
DANIELLE MCGAHA SOMMERS
Nurse Practitioner (Family)
410 EPTING AVE
GREENWOOD, SC 29646
Greenwood County (864) 725-1410
SELF REGIONAL HEALTHCARE
Family Medicine
410 EPTING AVE
GREENWOOD, SC 29646
Greenwood County (864) 725-4111
DR. ROBIN MORGAN LANFORD MD
General Practice
410 EPTING AVE
GREENWOOD, SC 29646
Greenwood County (864) 725-7880
SELF REGIONAL HEALTHCARE
Clinic/Center (Rural Health)
410 EPTING AVE
GREENWOOD, SC 29646
Greenwood County (864) 725-4111
SELF MEDICAL GROUP
Family Medicine
410 EPTING AVE
GREENWOOD, SC 29646
Greenwood County (864) 725-7880
NATALE WOJCIECHOWSKI BURTON FNP-BC
Nurse Practitioner (Family)
410 EPTING AVE
GREENWOOD, SC 29646
Greenwood County (864) 725-5326

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 Self Medical Group's NPI number?

The NPI number for Self Medical Group is 1013570910. It was assigned to this organization in the NPPES registry on April 16, 2019. The provider is also known as Lifestyle Clinic Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 410 Epting Ave, Greenwood, SC 29646. The listed phone number is (864) 725-7880.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Self Medical Group was last updated on December 14, 2021. 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.