SELF REGIONAL HEALTHCARE
NPI 1134927767
Clinic/Center - Rural Health in Ninety Six, SC

Active since March 07, 2025
103 LITTLE MOUNTAIN RD, NINETY SIX, SC 29666(864) 543-3515 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1134927767), doing business as Family Healthcare Ninety Six, is a healthcare organization registered as a rural health in Ninety Six, 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

NPI1134927767
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address103 LITTLE MOUNTAIN RDNinety Six, SC 29666-9252
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1134927767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
103 LITTLE MOUNTAIN RD, Ninety Six, SC 29666

Other Names 1

Doing Business AsFamily Healthcare Ninety Six

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Physician Assistant
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Physician Assistant (Medical)
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666

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 1134927767. It was assigned to this organization in the NPPES registry on March 7, 2025. The provider is doing business as Family Healthcare Ninety Six.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 103 Little Mountain Rd, Ninety Six, SC 29666. The listed phone number is (864) 543-3515.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Self Regional Healthcare was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.