SELF REGIONAL HEALTHCARE
NPI 1114726460
Family Medicine in Laurens, SC

Q: What is Self Regional Healthcare's NPI number?

The NPI number for Self Regional Healthcare is 1114726460. It was assigned to this organization in the NPPES registry on March 10, 2025. The provider is doing business as Self Medical Center Laurens.

Q: What is Self Regional Healthcare's specialty?

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

Active since March 10, 2025

22580 HIGHWAY 76 E, LAURENS, SC 29360(864) 833-5986 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, May 27, 2026, Mar 10, 2025 (3 updates tracked since 2025).

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About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1114726460), doing business as Self Medical Center Laurens, is a healthcare organization registered as a family medicine in Laurens, 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

NPI1114726460

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSELF REGIONAL HEALTHCARE

Location Address22580 HIGHWAY 76 ELaurens, SC 29360-8460

Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424

Phone(864) 833-5986

Organization SubpartNo

Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780

Enumeration DateMarch 10, 2025

Last NPPES UpdateJune 4, 20263 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1114726460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ 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.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X

22580 HIGHWAY 76 E, Laurens, SC 29360

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Other Names 1

Doing Business AsSelf Medical Center Laurens

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

Other Providers at the Same Location NPPES 13

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

SELF MEDICAL GROUP

Internal Medicine

22580 HIGHWAY 76 E, SUITE 200
LAURENS, SC 29360

Laurens County (864) 833-0055

LOUIS M STEPHENS MD

Family Medicine

22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360

Laurens County (864) 833-5986

SELF MEDICAL GROUP

Clinic/Center (Urgent Care)

22580 HIGHWAY 76 E, SUITE 300
LAURENS, SC 29360

Laurens County (864) 833-0055

NICHOLAS KENT PETRUS PA-C

Physician Assistant

22580 HIGHWAY 76 E
LAURENS, SC 29360

Laurens County (864) 939-1070

SELF REGIONAL PHYSICIAN SERVICES

Family Medicine

22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360

Laurens County (864) 833-5986

BRIAN E WEIRICK D.O.

Internal Medicine

22580 HIGHWAY 76 E, SUITE 200
LAURENS, SC 29360

Laurens County (864) 833-0055

LAURA LEE WOLFE

Nurse Practitioner (Family)

22580 HIGHWAY 76 E, SUITE 300
LAURENS, SC 29360

Laurens County (864) 939-1070

SELF MEDICAL GROUP

Family Medicine

22580 HIGHWAY 76 E, SUITE 100
LAURENS, SC 29360

Laurens County (864) 833-5986

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 1114726460. It was assigned to this organization in the NPPES registry on March 10, 2025. The provider is doing business as Self Medical Center Laurens.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 22580 Highway 76 E, Laurens, SC 29360. The listed phone number is (864) 833-5986.

What is Self Regional Healthcare's specialty?

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

When was this NPI record last updated?

The NPPES record for Self Regional Healthcare was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.