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SELF MEDICAL GROUP
NPI 1144937608
Obstetrics & Gynecology in Greenwood, SC

Active since November 03, 2022
1029A EDGEFIELD ST, GREENWOOD, SC 29646(864) 388-2122(864) 388-7948 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Self Medical Group NPPES

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

SELF MEDICAL GROUP (NPI 1144937608) is a healthcare organization registered as an obstetrics & gynecology in Greenwood, South Carolina and active in the NPI registry since November 2022. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1144937608
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSELF MEDICAL GROUP
Location Address1029A EDGEFIELD STGreenwood, SC 29646-3205
Mailing Address1029a Edgefield StGreenwood, SC 29646-3205 · (864) 388-2122 · Fax (864) 388-7948
Phone(864) 388-2122
Fax(864) 388-7948
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
✔ NPI 1144937608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1029A EDGEFIELD ST, Greenwood, SC 29646
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Other Names 1

Other NameAdvanced Obstetrics And Gynecology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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, First Choice Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Self Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

560

Medicare enrollment records show 560 clinicians reassign Medicare billing to Self Medical Group, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 302 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 43

Family Practice95
Nurse Practitioner87
Emergency Medicine59
Certified Registered Nurse Anesthetist (CRNA)36
Internal Medicine34
Anesthesiology24
Diagnostic Radiology22
Gastroenterology17
35 other specialties186

Nearest to this location (20)

See all 560
Emile Barrouk, MD
Psychiatry
NPI 1346479847
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts MedicareSame address
Machelle Bolden
Mental Health Counselor
NPI 1043995236
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts MedicareSame address
Jennifer Duffie, LISW-CP
Clinical Social Worker
NPI 1154316404
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts MedicareSame address
Kelly Gallagher-Kiley, LCSW
Clinical Social Worker
NPI 1164503348
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts MedicareSame address
Ashtyn Kinney, LPC
Mental Health Counselor
NPI 1396432423
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts MedicareSame address
Peggy Manalich, MSW
Clinical Social Worker
NPI 1225064462
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts MedicareSame address
Drenda Sheek, LPC
Mental Health Counselor
NPI 1427513696
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts MedicareSame address
Christie Trick, LCSW-CP
Clinical Social Worker
NPI 1851586796
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts MedicareSame address
Michael White, MD
Family Practice
NPI 1003815358
138 WELLS AVE
Greenwood, SC 29646
(864) 725-4138
✔ PECOS✔ Accepts Medicare0.2 mi
Linda Fuqua, MD
Pediatric Medicine
NPI 1336107879
210 WELLS AVE
Greenwood, SC 29646
(864) 943-4279
✔ PECOS0.3 mi
Elizabeth Hammond, C.P.N.P.
Nurse Practitioner
NPI 1508870635
210 WELLS AVE
Greenwood, SC 29646
(864) 943-4279
✔ PECOS0.3 mi
John Konsek, MD
General Surgery
NPI 1639285083
160 ACADEMY AVE
Greenwood, SC 29646
(864) 223-8090
✔ PECOS✔ Accepts Medicare0.3 mi
Anas Abdel Azim, M.D., M.SC
Vascular Surgery
NPI 1104131143
160 ACADEMY AVE
Greenwood, SC 29646
(864) 223-8090
✔ PECOS✔ Accepts Medicare0.3 mi
Guy Dooley, D.O.
Gastroenterology
NPI 1811336092
160 ACADEMY AVE
Greenwood, SC 29646
(864) 223-8090
✔ PECOS✔ Accepts Medicare0.3 mi
Heather Armstrong, AU.D.
Qualified Audiologist
NPI 1194909333
1015 SPRING ST
Greenwood, SC 29646
(864) 227-0444
0.3 mi
William Isenhower, MD
Otolaryngology
NPI 1982788725
1015 SPRING ST
Greenwood, SC 29646
(864) 227-6741
✔ PECOS✔ Accepts Medicare0.3 mi
Dipesh Maan, M.D.
Nephrology
NPI 1255773784
1123 SPRING ST
Greenwood, SC 29646
(864) 450-9036
✔ PECOS✔ Accepts Medicare0.3 mi
Karl Boellert, M.D., M.P.H.
Physical Medicine and Rehabilitation
NPI 1972731917
115 ACADEMY AVE
Greenwood, SC 29646
(864) 725-7272
✔ PECOS✔ Accepts Medicare0.3 mi
John Cole, M.D.
Neurosurgery
NPI 1457459174
115 ACADEMY AVE
Greenwood, SC 29646
(864) 725-7272
✔ PECOS✔ Accepts Medicare0.3 mi
Tinu Abraham, MD
Internal Medicine
NPI 1194354399
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts Medicare0.4 mi
See all 560 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medical Group's NPI number?

The NPI number for Self Medical Group is 1144937608. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is also known as Advanced Obstetrics and Gynecology.

Where is Self Medical Group located?

Self Medical Group is located at 1029A Edgefield St, Greenwood, SC 29646. The listed phone number is (864) 388-2122.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Self Medical Group enrolled in Medicare?

Yes. Self Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Self Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 560 clinicians in 43 Medicare specialties reassign their Medicare billing to Self Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (95), Nurse Practitioner (87) and Emergency Medicine (59). Of these, 8 practice at this address and 302 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Self Medical Group accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare list Self Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Self Medical Group was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.