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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SELF REGIONAL HEALTHCARE
NPI 1013867498
Anesthesiology - Pain Medicine in Greenwood, SC

Active since February 03, 2026CLIA Certified · 4 labs
1325 SPRING ST, GREENWOOD, SC 29646(864) 725-4095(864) 725-5082 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Feb 3, 2026 (2 updates tracked since 2026).

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1013867498), doing business as Pain Management Greenwood, is a healthcare organization registered as a pain medicine in Greenwood, South Carolina and active in the NPI registry since February 2026. The organization holds 4 active CLIA laboratory certificates and lists Matthew Tolbert Logan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1013867498
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address1325 SPRING STGreenwood, SC 29646-3875
Mailing Address1325 Spring StGreenwood, SC 29646-3875 · (864) 725-4095 · Fax (864) 725-5082
Phone(864) 725-4095
Fax(864) 725-5082
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateFebruary 3, 2026
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1013867498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
1325 SPRING ST, Greenwood, SC 29646
Open in Google Maps ↗

Other Names 1

Doing Business AsPain Management Greenwood

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Self Regional Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by December 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20051214000767Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
StateSouth CarolinaEnrollment IDO20060329000365Part A · HospitalDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

231

Medicare enrollment records show 231 clinicians reassign Medicare billing to Self Regional Healthcare, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 156 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Family Practice76
Nurse Practitioner65
Obstetrics/Gynecology19
Internal Medicine15
Cardiovascular Disease (Cardiology)9
Pediatric Medicine8
Neurology4
Otolaryngology4
18 other specialties31

Nearest to this location (20)

See all 231
Matthew Adams, MD
Family Practice
NPI 1467136135
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts MedicareSame address
Sunil Agarwal, MD
Interventional Pain Management
NPI 1780113506
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts MedicareSame address
Kelly Ardis, AGPCNP-BC
Nurse Practitioner
NPI 1417304734
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts MedicareSame address
Houston Earnest, MD
Family Practice
NPI 1457192460
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts MedicareSame address
Grace Flanagan, MD
Family Practice
NPI 1689415606
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4780
✔ PECOS✔ Accepts MedicareSame address
Amber Gaspard
Family Practice
NPI 1326605890
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4780
✔ PECOS✔ Accepts MedicareSame address
Jill Gilchrist, NP
Nurse Practitioner
NPI 1588809842
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts MedicareSame address
Helen Grey, MD
Family Practice
NPI 1407470198
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4272
✔ PECOS✔ Accepts MedicareSame address
Boyd Guttery, MD
Family Practice
NPI 1497492664
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4780
✔ PECOS✔ Accepts MedicareSame address
Jonathan Hegler
Family Practice
NPI 1952382277
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4272
✔ PECOS✔ Accepts MedicareSame address
Shana Keller, APRN
Nurse Practitioner
NPI 1841493541
1325 SPRING ST
Greenwood, SC 29646
(864) 725-5722
✔ PECOS✔ Accepts MedicareSame address
Philip Latourette, MD
Anesthesiology
NPI 1578596995
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts MedicareSame address
Aatman Makadia, MD
Pain Management
NPI 1154909612
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOSSame address
Lindsey Richardson, DO
Family Practice
NPI 1205677135
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4780
✔ PECOSSame address
Katie Sahlstrom, DO
Family Practice
NPI 1841915246
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4865
✔ PECOS✔ Accepts MedicareSame address
Misty Seaborn, FNP
Nurse Practitioner
NPI 1689196990
1325 SPRING ST
Greenwood, SC 29646
(864) 725-5042
✔ PECOS✔ Accepts MedicareSame address
Kaitlyn Shillinglaw, DO
Family Practice
NPI 1396586889
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4780
✔ PECOSSame address
Ashmeet Singh, DO
Family Practice
NPI 1609617190
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4780
✔ PECOS✔ Accepts MedicareSame address
Michelle Floyd, MD
Family Practice
NPI 1710959424
SELF MEDICAL GROUP - FAMILY HEALTHCARE OF GREENWOOD 116 VENTURE COURT
Greenwood, SC 29649
(864) 725-5594
✔ PECOS✔ Accepts MedicareSame address
Stephen Boucher, APRN
Nurse Practitioner
NPI 1730728031
160 ACADEMY AVE
Greenwood, SC 29646
(864) 223-8090
✔ PECOS✔ Accepts Medicare0.2 mi
See all 231 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 4

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 Accreditation 42D2005719

Self Regional Healthcare- Point Of Care · Greenwood, SC
Active · expires Sep 8, 2028
CLIA Number42D2005719
Laboratory TypeHospital
Certificate Effective DateSeptember 9, 2026
Certificate Expiration DateSeptember 8, 2028
Laboratory DirectorDr. Jay V. Alden
Laboratory Phone(864) 725-4818
Laboratory LocationSelf Regional Healthcare- Point Of Care1325 Spring Street, Greenwood, SC 29646
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 42D0665337

Self Regional Healthcare Main Lab · Greenwood, SC
Active · expires Feb 8, 2027
CLIA Number42D0665337
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Donald C. Swing
Laboratory Phone(864) 725-4828
Laboratory LocationSelf Regional Healthcare Main Lab1325 Spring Street, Greenwood, SC 29646
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 42D0664806

Self Regional Healthcare Respiratory Therapy · Greenwood, SC
Active · expires Jan 2, 2027
CLIA Number42D0664806
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. John P. Tejada
Laboratory Phone(864) 227-4935
Laboratory LocationSelf Regional Healthcare Respiratory Therapy1325 Spring Street, Greenwood, SC 29646
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 42D2096719

Self- Regional Healthcare Imaging Center · Greenwood, SC
Active · expires Nov 8, 2026
CLIA Number42D2096719
Laboratory TypeOutpatient Radiology Faci
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorDr. Jay V. Alden
Laboratory Phone(864) 725-7155
Laboratory LocationSelf- Regional Healthcare Imaging Center102 Academy Avenue, Greenwood, SC 29646
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Regional Healthcare's NPI number?

The NPI number for Self Regional Healthcare is 1013867498. It was assigned to this organization in the NPPES registry on February 3, 2026. The provider is doing business as Pain Management Greenwood.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 1325 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-4095.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Self Regional Healthcare enrolled in Medicare?

Yes. Self Regional Healthcare is registered in the Medicare PECOS enrollment system.

When is Self Regional Healthcare's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Self Regional Healthcare holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, South Carolina, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Self Regional Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 231 clinicians in 26 Medicare specialties reassign their Medicare billing to Self Regional Healthcare. 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 Family Practice (76), Nurse Practitioner (65) and Obstetrics/Gynecology (19). Of these, 19 practice at this address and 156 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Self Regional Healthcare hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Self Regional Healthcare accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Self Regional Healthcare 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 Self Regional Healthcare was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.