ADVANCED VASCULAR ASSOCIATES A DIVISION OF SELF MEDICAL GROUP
NPI 1124488895
Surgery - Vascular Surgery in Greenwood, SC

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

The NPI number for Self Medical Group is 1124488895. It was assigned to this organization in the NPPES registry on February 24, 2016. The provider is also known as Advanced Vascular Associates A Division Of Self Medical Group.

Q: What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since February 24, 2016

160 ACADEMY AVE, GREENWOOD, SC 29646(864) 223-8090 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2021, Feb 24, 2016 (2 updates tracked since 2016).

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About Advanced Vascular Associates A Division Of Self Medical Group NPPES

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

ADVANCED VASCULAR ASSOCIATES A DIVISION OF SELF MEDICAL GROUP (NPI 1124488895) is a healthcare organization registered as a vascular surgery in Greenwood, South Carolina and active in the NPI registry since February 2016. The organization lists Matthew T Logan, President And Cfo, as its authorized official.

NPPES Registry Identity

NPI1124488895

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameSELF MEDICAL GROUP

Location Address160 ACADEMY AVEGreenwood, SC 29646-3808

Mailing Address160 Academy AveGreenwood, SC 29646-3808 · (864) 223-8090

Phone(864) 223-8090

Organization SubpartNo

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

Enumeration DateFebruary 24, 2016

Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration

NPPES CertifiedDecember 14, 2021

✔ NPI 1124488895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X

160 ACADEMY AVE, Greenwood, SC 29646

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Other Names 1

Other NameAdvanced Vascular Associates A Division Of Self Medical Group

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

ANAS ABDEL AZIM M.D., M.SC

Surgery (Vascular Surgery)