VIRTUAL SERVICES
NPI 1104572411
Nurse Practitioner in Greenwood, SC

Q: What is Self Medical Group's NPI number?

The NPI number for Self Medical Group is 1104572411. It was assigned to this organization in the NPPES registry on February 24, 2022. The provider is also known as Virtual Services.

Q: What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 24, 2022

410 EPTING AVE, GREENWOOD, SC 29646(864) 725-5326(864) 725-5327 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2022, Jun 8, 2022, Mar 7, 2022 and 1 more (4 updates tracked since 2022).

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About Virtual Services NPPES

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

VIRTUAL SERVICES (NPI 1104572411) is a healthcare organization registered as a nurse practitioner in Greenwood, South Carolina and active in the NPI registry since February 2022. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1104572411

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSELF MEDICAL GROUP

Location Address410 EPTING AVEGreenwood, SC 29646-4040

Mailing Address410 Epting AveGreenwood, SC 29646-4040 · (864) 725-5326 · Fax (864) 725-5327

Phone(864) 725-5326

Fax(864) 725-5327

Organization SubpartNo

Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253

Enumeration DateFebruary 24, 2022

Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration

NPPES CertifiedOctober 18, 2022

✔ NPI 1104572411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

410 EPTING AVE, Greenwood, SC 29646

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Other Names 1

Other NameVirtual Services

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 ›

Other Providers at the Same Location NPPES 9

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

SELF MEDICAL GROUP

Family Medicine