SELF REGIONAL HEALTHCARE
NPI 1114726460
Family Medicine in Laurens, SC

NPI Status: Active since March 10, 2025

Contact Information

22580 HIGHWAY 76 E
LAURENS, SC
ZIP 29360
Phone: (864) 833-5986

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  • Organization
  • Family Medicine

About SELF REGIONAL HEALTHCARE

This page provides the complete NPI Profile along with additional information for Self Regional Healthcare, a primary care provider established in Laurens, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1114726460 assigned on March 2025. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated May 2026. Self Regional Healthcare operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Matthew Tolbert Logan (President & Ceo)

NPI
1114726460
Provider Legal Name
SELF REGIONAL HEALTHCARE
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
22580 HIGHWAY 76 E LAURENS, SC 29360
Location Phone
(864) 833-5986
Mailing Address
104 WELLS AVE GREENWOOD, SC 29646
Mailing Phone
(864) 725-4673
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2025
Last Update Date
05-27-2026
Code Navigator

A primary care provider (PCP) like Self Regional Healthcare sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QS0010XAllopathic & Osteopathic Physicians

Family Medicine
Sports Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
4207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
5207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
6208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
72084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
8208600000XAllopathic & Osteopathic Physicians

Surgery

 
9208800000XAllopathic & Osteopathic Physicians

Urology

 
10213ES0103XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot & Ankle Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW TOLBERT LOGAN

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(864) 725-4780

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114726460, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 4 + 2 + 1 + 2 + 4 + 1 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1114726460.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Nurse Practitioner (Gerontology)
22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360
Family Medicine
22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360
Nurse Practitioner (Family)
22580 HIGHWAY 76 E, SUITE 300
LAURENS, SC 29360
Internal Medicine
22580 HIGHWAY 76 E, SUITE 200
LAURENS, SC 29360
Family Medicine
22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360
Clinic/Center (Urgent Care)
22580 HIGHWAY 76 E, SUITE 300
LAURENS, SC 29360
Internal Medicine
22580 HIGHWAY 76 E, SUITE 200
LAURENS, SC 29360
Family Medicine
22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360
Family Medicine
22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360
Family Medicine
22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360
Nurse Practitioner (Family)
22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360
Physician Assistant
22580 HIGHWAY 76 E
LAURENS, SC 29360
Clinic/Center (Rural Health)
22580 HIGHWAY 76 E
LAURENS, SC 29360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114726460, enumerated as an "organization" on March 10, 2025.

The provider is located at 22580 HIGHWAY 76 E LAURENS, SC 29360 and the phone number is (864) 833-5986.

Family Medicine with taxonomy code 207Q00000X.