VIRTUAL SERVICES
NPI 1104572411
Nurse Practitioner in Greenwood, SC

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: October 18, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Virtual Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

560

Medicare enrollment records show 560 clinicians reassign Medicare billing to Virtual Services, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 302 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 43

Family Practice95
Nurse Practitioner87
Emergency Medicine59
Certified Registered Nurse Anesthetist (CRNA)36
Internal Medicine34
Anesthesiology24
Diagnostic Radiology22
Gastroenterology17
35 other specialties186

Nearest to this location (20)

See all 560
Nurse Practitioner
NPI 1861144776
410 EPTING AVE
Greenwood, SC 29646
(864) 725-5326
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1558408179
410 EPTING AVE
Greenwood, SC 29646
(864) 725-7880
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164800470
410 EPTING AVE
Greenwood, SC 29646
(864) 725-5326
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1437717857
1506 SPRING ST
Greenwood, SC 29646
(864) 725-7430
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1740453893
1506 SPRING ST
Greenwood, SC 29646
(864) 725-7900
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiac Surgery
NPI 1639106990
1506 SPRING ST
Greenwood, SC 29646
(864) 725-7900
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1447935598
1506 SPRING ST
Greenwood, SC 29646
(864) 725-7430
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1780237263
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS0.1 mi
Internal Medicine
NPI 1447755574
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiac Electrophysiology
NPI 1568454205
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1427108158
115 OVERLAND DR
Greenwood, SC 29646
(864) 227-6641
✔ PECOS✔ Accepts Medicare0.2 mi
Nephrology
NPI 1396701710
115 OVERLAND DRIVE
Greenwood, SC 29646
(864) 227-6641
✔ PECOS✔ Accepts Medicare0.2 mi
Neurology
NPI 1740600832
102 KATIE CT
Greenwood, SC 29646
(864) 725-7799
✔ PECOS✔ Accepts Medicare0.2 mi
Emergency Medicine
NPI 1780602771
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4799
✔ PECOS0.2 mi
Diagnostic Radiology
NPI 1316193279
1325 SPRING ST
Greenwood, SC 29646
(864) 889-9609
✔ PECOS✔ Accepts Medicare0.2 mi
Interventional Pain Management
NPI 1780113506
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053947192
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ Accepts Medicare0.2 mi
Psychiatry
NPI 1790125615
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4398
✔ PECOS✔ Accepts Medicare0.2 mi
Anesthesiology
NPI 1639159791
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts Medicare0.2 mi
Radiation Oncology
NPI 1699209429
1325 SPRING ST
Greenwood, SC 29646
(864) 725-7100
✔ PECOS✔ Accepts Medicare0.2 mi
See all 560 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 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.

Where is Self Medical Group located?

Self Medical Group is located at 410 Epting Ave, Greenwood, SC 29646. The listed phone number is (864) 725-5326.

What is Self Medical Group's specialty?

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

Is Self Medical Group enrolled in Medicare?

Yes. Self Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Self Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 560 clinicians in 43 Medicare specialties reassign their Medicare billing to Self Medical Group. 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 (95), Nurse Practitioner (87) and Emergency Medicine (59). Of these, 3 practice at this address and 302 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Self Medical Group accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer 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 October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.