LAKELANDS EAR NOSE AND THROAT
NPI 1134981947
Otolaryngology in Greenwood, SC

NPI Status: Active since January 26, 2024

Contact Information

1015 SPRING ST
GREENWOOD, SC
ZIP 29646
Phone: (864) 227-6741

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NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Otolaryngology
  • Accepts Insurance

About LAKELANDS EAR NOSE AND THROAT

This page provides the complete NPI Profile along with additional information for Lakelands Ear Nose And Throat, a provider established in Greenwood, South Carolina operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1134981947 assigned on January 2024. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Lakelands Ear Nose And Throat operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Lakelands Ear Nose And Throat. The authorized official of this NPI record is Matthew Tolbert Logan Md (Ceo)

NPI
1134981947
Provider Legal Name
SELF MEDICAL GROUP
Other Organization Name
LAKELANDS EAR NOSE AND THROAT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1015 SPRING ST GREENWOOD, SC 29646
Location Phone
(864) 227-6741
Mailing Address
1015 SPRING ST GREENWOOD, SC 29646
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2024
Last Update Date
06-12-2024
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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

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

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)
1231H00000XSpeech, Language and Hearing Service Providers

Audiologist

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Premier - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Essential - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 MD

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

Reviews for LAKELANDS EAR NOSE AND THROAT

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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 1134981947, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 3 → 6 9 → 18 → 9 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 1 + 8 + 8 + 2 + 9 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1134981947.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Otolaryngology
1015 SPRING ST
GREENWOOD, SC 29646
Otolaryngology
1015 SPRING ST
GREENWOOD, SC 29646
Audiologist
1015 SPRING ST
GREENWOOD, SC 29646
Audiologist
1015 SPRING ST
GREENWOOD, SC 29646
Audiologist
1015 SPRING ST
GREENWOOD, SC 29646
Otolaryngology
1015 SPRING ST
GREENWOOD, SC 29646
Otolaryngology
1015 SPRING ST
GREENWOOD, SC 29646
Otolaryngology
1015 SPRING ST
GREENWOOD, SC 29646
Audiologist
1015 SPRING ST
GREENWOOD, SC 29646
Nurse Practitioner (Family)
1015 SPRING ST
GREENWOOD, SC 29646
Hearing Instrument Specialist
1015 SPRING ST
GREENWOOD, SC 29646
Otolaryngology
1015 SPRING ST
GREENWOOD, SC 29646

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134981947, enumerated as an "organization" on January 26, 2024.

The provider is located at 1015 SPRING ST GREENWOOD, SC 29646 and the phone number is (864) 227-6741.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.