SELF REGIONAL HEALTHCARE
NPI 1073312476
Family Medicine in Hodges, SC

Active since March 10, 2025
3410 COKESBURY RD, HODGES, SC 29653(864) 227-2099 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1073312476), doing business as Family Healthcare North Greenwood, is a healthcare organization registered as a family medicine in Hodges, South Carolina and active in the NPI registry since March 2025. The organization lists Matthew Tolbert Logan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1073312476
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address3410 COKESBURY RDHodges, SC 29653-9181
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1073312476 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.
3410 COKESBURY RD, Hodges, SC 29653

Other Names 1

Doing Business AsFamily Healthcare North 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

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, 3 practice at this address and 153 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
Nurse Practitioner
NPI 1487017521
3410 COKESBURY RD
Hodges, SC 29653
(864) 227-2099
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1639163058
3410 COKESBURY RD
Hodges, SC 29653
(864) 227-2099
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992799316
3410 COKESBURY RD
Hodges, SC 29653
(864) 227-2099
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750519278
102 ROCKCREEK BLVD
Greenwood, SC 29649
(864) 725-5020
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1154038800
102 ROCKCREEK BLVD
Greenwood, SC 29649
(864) 725-5020
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1518992254
102 ROCKCREEK BLVD
Greenwood, SC 29649
(864) 725-5020
✔ PECOS✔ Accepts Medicare4.0 mi
Obstetrics/Gynecology
NPI 1730182064
107 VENTURE CT
Greenwood, SC 29649
(864) 538-6565
✔ PECOS✔ Accepts Medicare4.9 mi
Family Practice
NPI 1114969326
116 VENTURE COURT
Greenwood, SC 29649
(864) 725-5594
✔ PECOS✔ Accepts Medicare5.0 mi
Family Practice
NPI 1922092345
1228 HIGHWAY 72 W
Greenwood, SC 29649
(864) 943-0549
✔ PECOS✔ Accepts Medicare5.3 mi
Clinical Social Worker
NPI 1164503348
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts Medicare6.6 mi
Qualified Audiologist
NPI 1902644677
1015 SPRING ST
Greenwood, SC 29646
(864) 227-6741
✔ Accepts Medicare6.8 mi
Otolaryngology
NPI 1982788725
1015 SPRING ST
Greenwood, SC 29646
(864) 227-6741
✔ PECOS✔ Accepts Medicare6.8 mi
Nurse Practitioner
NPI 1073342028
1015 SPRING ST
Greenwood, SC 29646
(864) 227-6741
✔ PECOS✔ Accepts Medicare6.8 mi
Nephrology
NPI 1255773784
1123 SPRING ST
Greenwood, SC 29646
(864) 450-9036
✔ PECOS✔ Accepts Medicare6.8 mi
Pediatric Medicine
NPI 1336107879
210 WELLS AVE
Greenwood, SC 29646
(864) 943-4279
✔ PECOS6.8 mi
General Surgery
NPI 1780679241
160 ACADEMY AVE
Greenwood, SC 29646
(864) 223-8090
✔ PECOS✔ Accepts Medicare6.8 mi
Clinical Psychologist
NPI 1386808178
155 ACADEMY AVE
Greenwood, SC 29646
(864) 725-4865
✔ PECOS✔ Accepts Medicare6.9 mi
Physical Medicine and Rehabilitation
NPI 1972731917
115 ACADEMY AVE
Greenwood, SC 29646
(864) 725-7272
✔ PECOS✔ Accepts Medicare6.9 mi
Neurosurgery
NPI 1457459174
115 ACADEMY AVE
Greenwood, SC 29646
(864) 725-7272
✔ PECOS✔ Accepts Medicare6.9 mi
Interventional Pain Management
NPI 1780113506
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts Medicare7.0 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 1073312476. It was assigned to this organization in the NPPES registry on March 10, 2025. The provider is doing business as Family Healthcare North Greenwood.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 3410 Cokesbury Rd, Hodges, SC 29653. The listed phone number is (864) 227-2099.

What is Self Regional Healthcare's specialty?

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

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, 3 practice at this address and 153 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, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.