SELF REGIONAL HEALTHCARE
NPI 1013867498
Anesthesiology - Pain Medicine in Greenwood, SC
NPI Status: Active since February 03, 2026
Contact Information
1325 SPRING ST
GREENWOOD, SC
ZIP 29646
Phone: (864) 725-4095
Fax: (864) 725-5082
- Organization
- Anesthesiology
- Pain Medicine
- CLIA Number: 42D0664806
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About SELF REGIONAL HEALTHCARE
This page provides the complete NPI Profile along with additional information for Self Regional Healthcare, a provider established in Greenwood, South Carolina operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1013867498 assigned on February 2026. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated February 2026. Self Regional Healthcare operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Matthew Tolbert Logan (President & Ceo)
- NPI
- 1013867498
- Provider Name
- SELF REGIONAL HEALTHCARE
- Entity Type
- Organization
- Location Address
- 1325 SPRING ST GREENWOOD, SC 29646
- Location Phone
- (864) 725-4095
- Location Fax
- (864) 725-5082
- Mailing Address
- 1325 SPRING ST GREENWOOD, SC 29646
- Mailing Phone
- (864) 725-4095
- Mailing Fax
- (864) 725-5082
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-03-2026
- Last Update Date
- 02-03-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0664806
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. JOHN P. TEJADA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Self Regional Healthcare on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013867498, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GREENWOOD, SC 29646
GREENWOOD, SC 29646
GREENWOOD, SC 29646
GREENWOOD, SC 29646
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013867498, enumerated as an "organization" on February 03, 2026.
The provider is located at 1325 SPRING ST GREENWOOD, SC 29646 and the phone number is (864) 725-4095.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
