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LAKELANDS PLASTIC SURGERY
NPI 1033832530
Surgery - Plastic and Reconstructive Surgery in Greenwood, SC

Active since September 21, 2022
305 W ALEXANDER AVE # A, GREENWOOD, SC 29646(864) 223-0505(864) 223-7075 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2022, Oct 18, 2022, Oct 6, 2022 and 1 more (4 updates tracked since 2022).

About Lakelands Plastic Surgery NPPES

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

LAKELANDS PLASTIC SURGERY (NPI 1033832530) is a healthcare organization registered as a plastic and reconstructive surgery in Greenwood, South Carolina and active in the NPI registry since September 2022. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1033832530
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSELF MEDICAL GROUP
Location Address305 W ALEXANDER AVE # AGreenwood, SC 29646-4009
Mailing Address305 W Alexander Ave # AGreenwood, SC 29646-4009 · (864) 223-0505 · Fax (864) 223-7075
Phone(864) 223-0505
Fax(864) 223-7075
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateSeptember 21, 2022
Last NPPES UpdateNovember 7, 20224 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1033832530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
305 W ALEXANDER AVE # A, Greenwood, SC 29646
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Other Names 1

Other NameLakelands Plastic Surgery

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 ›

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 1033832530. It was assigned to this organization in the NPPES registry on September 21, 2022. The provider is also known as Lakelands Plastic Surgery.

Where is Self Medical Group located?

Self Medical Group is located at 305 W Alexander Ave # A, Greenwood, SC 29646. The listed phone number is (864) 223-0505.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

What insurance does Self Medical Group 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 Self Medical Group 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 Medical Group was last updated on November 7, 2022. 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.