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SELF REGIONAL HEALTHCARE
NPI 1053103572
Internal Medicine in Greenwood, SC

Active since May 20, 2025
115 OVERLAND DR, GREENWOOD, SC 29646(864) 227-6641(864) 227-3953 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1053103572), doing business as Internal Medicine Of Greenwood, is a healthcare organization registered as an internal medicine in Greenwood, South Carolina and active in the NPI registry since May 2025. The organization lists Matthew Tolbert Logan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1053103572
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address115 OVERLAND DRGreenwood, SC 29646-4053
Mailing Address1325 Spring StGreenwood, SC 29646-3860 · (864) 725-4673 · Fax (864) 725-7424
Phone(864) 227-6641
Fax(864) 227-3953
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1053103572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
115 OVERLAND DR, Greenwood, SC 29646
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Other Names 1

Doing Business AsInternal Medicine Of Greenwood

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 BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare.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

Revalidation due by December 31, 2026

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
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, 7 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
Theresa Calderon, DNP APRN FNP-C
Nurse Practitioner
NPI 1083965347
115 OVERLAND DR
Greenwood, SC 29646
(864) 227-6641
✔ PECOS✔ Accepts MedicareSame address
Yoonhee Choi
Internal Medicine
NPI 1356927370
115 OVERLAND DR
Greenwood, SC 29646
(864) 227-6641
✔ PECOS✔ Accepts MedicareSame address
Joseph Hill, MD
Family Practice
NPI 1427108158
115 OVERLAND DR
Greenwood, SC 29646
(864) 227-6641
✔ PECOS✔ Accepts MedicareSame address
Carlos Manalich, M.D.
Internal Medicine
NPI 1003871997
115 OVERLAND DR
Greenwood, SC 29646
(864) 227-6641
✔ PECOS✔ Accepts MedicareSame address
Heather Owens, APRN
Nurse Practitioner
NPI 1811203482
115 OVERLAND DR
Greenwood, SC 29646
(864) 227-6641
✔ PECOS✔ Accepts MedicareSame address
Kimberly Russell, M.D.
Internal Medicine
NPI 1548226962
115 OVERLAND DR
Greenwood, SC 29646
(864) 227-6641
✔ PECOS✔ Accepts MedicareSame address
Gail Waldrop, ACNP-C
Nurse Practitioner
NPI 1154349710
115 OVERLAND DR
Greenwood, SC 29646
(864) 227-6641
✔ PECOS✔ Accepts MedicareSame address
Smriti Bhatia, MD
Cardiovascular Disease (Cardiology)
NPI 1780237263
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS0.1 mi
Andrea Branyon, APRN, FNP-BC
Nurse Practitioner
NPI 1518636349
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS✔ Accepts Medicare0.1 mi
Efehi Igbinomwanhia
Internal Medicine
NPI 1447755574
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS✔ Accepts Medicare0.1 mi
Rollo Villareal, MD
Cardiac Electrophysiology
NPI 1568454205
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS✔ Accepts Medicare0.1 mi
Alexander Barnett, DPM
Podiatry
NPI 1508495680
1506 SPRING ST
Greenwood, SC 29646
(864) 725-7430
✔ PECOS✔ Accepts Medicare0.1 mi
Robin Lanford, MD
General Practice
NPI 1558408179
410 EPTING AVE
Greenwood, SC 29646
(864) 725-7880
✔ PECOS✔ Accepts Medicare0.2 mi
Melissa Bailey, D.O.
Geriatric Medicine
NPI 1801048202
102 KATIE CT
Greenwood, SC 29646
(864) 725-7799
✔ PECOS0.3 mi
Eduardo Cortez-Garcia, D.O.
Neurology
NPI 1740600832
102 KATIE CT
Greenwood, SC 29646
(864) 725-7799
✔ PECOS✔ Accepts Medicare0.3 mi
Matthew Adams, MD
Family Practice
NPI 1467136135
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts Medicare0.4 mi
Sunil Agarwal, MD
Interventional Pain Management
NPI 1780113506
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts Medicare0.4 mi
Philip Latourette, MD
Anesthesiology
NPI 1578596995
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts Medicare0.4 mi
Aatman Makadia, MD
Pain Management
NPI 1154909612
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS0.4 mi
Alexander Santos, DO
Infectious Disease
NPI 1467039156
104 LINER DR
Greenwood, SC 29646
(864) 227-1115
✔ PECOS✔ Accepts Medicare0.4 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.

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 1053103572. It was assigned to this organization in the NPPES registry on May 20, 2025. The provider is doing business as Internal Medicine of Greenwood.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 115 Overland Dr, Greenwood, SC 29646. The listed phone number is (864) 227-6641.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. 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, 7 practice at this address and 156 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Self Regional Healthcare accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next 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 May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.