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SELF REGIONAL HEALTHCARE
NPI 1093507501
Clinic/Center - Rural Health in Greenwood, SC

Active since May 20, 2025
105 VINECREST CT # 1000, GREENWOOD, SC 29646(864) 725-3350(864) 725-3351 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1093507501), doing business as Advanced Pulmonology Associates, is a healthcare organization registered as a rural health 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

NPI1093507501
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address105 VINECREST CT # 1000Greenwood, SC 29646-8031
Mailing Address1325 Spring StGreenwood, SC 29646-3860 · (864) 725-4673 · Fax (864) 725-7424
Phone(864) 725-3350
Fax(864) 725-3351
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1093507501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
105 VINECREST CT # 1000, Greenwood, SC 29646
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Other Names 1

Doing Business AsAdvanced Pulmonology Associates

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIMMY WANG MD
Internal Medicine (Pulmonary Disease)
105 VINECREST CT # 1000
GREENWOOD, SC 29646
Greenwood County (864) 725-3350
DR. LEONARD CHEUNG LIM M.D.
Internal Medicine (Pulmonary Disease)
105 VINECREST CT # 1000
GREENWOOD, SC 29646
Greenwood County (864) 725-3350
SELF MEDICAL GROUP
Internal Medicine (Pulmonary Disease)
105 VINECREST CT # 1000
GREENWOOD, SC 29646
Greenwood County (864) 725-7491
DR. ANNA STEPHANIE KOOKOOLIS MD
Internal Medicine (Pulmonary Disease)
105 VINECREST CT # 1000
GREENWOOD, SC 29646
Greenwood County (864) 725-3350
SELF REGIONAL HEALTHCARE
Internal Medicine (Pulmonary Disease)
105 VINECREST CT # 1000
GREENWOOD, SC 29646
Greenwood County (864) 725-3350
DR. JOHN PATRICK LIM TEJADA M.D.
Internal Medicine (Pulmonary Disease)
105 VINECREST CT # 1000
GREENWOOD, SC 29646
Greenwood County (864) 725-3350
MS. AMANDA GRACE BEVERLY AGACNP
Nurse Practitioner (Acute Care)
105 VINECREST CT # 1000
GREENWOOD, SC 29646
Greenwood County (864) 725-3350

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 1093507501. It was assigned to this organization in the NPPES registry on May 20, 2025. The provider is doing business as Advanced Pulmonology Associates.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 105 Vinecrest Ct # 1000, Greenwood, SC 29646. The listed phone number is (864) 725-3350.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Self Regional Healthcare was last updated on May 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.