FAMILY HEALTHCARE NORTH SALUDA, A DIVISION OF SELF MEDICAL GROUP
NPI 1184219214
Clinic/Center - Rural Health in Saluda, SC

Active since March 01, 2021CLIA 42D0693546 · Microscopy
3165 NEWBERRY HWY, SALUDA, SC 29138(864) 445-2500(864) 445-3956 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2023, Dec 14, 2021, Mar 1, 2021 (3 updates tracked since 2021).

About Family Healthcare North Saluda, A Division Of Self Medical Group NPPES

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

FAMILY HEALTHCARE NORTH SALUDA, A DIVISION OF SELF MEDICAL GROUP (NPI 1184219214) is a healthcare organization registered as a rural health in Saluda, South Carolina and active in the NPI registry since March 2021. The organization holds a CLIA Microscopy certificate valid through November 20, 2026 and lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1184219214
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSELF MEDICAL GROUP
Location Address3165 NEWBERRY HWYSaluda, SC 29138-0198
Mailing Address3165 Newberry HwySaluda, SC 29138-0198 · (864) 445-2500 · Fax (864) 445-3956
Fax(864) 445-3956
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateMarch 1, 2021
Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1184219214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
3165 NEWBERRY HWY, Saluda, SC 29138

Other Names 1

Other NameFamily Healthcare North Saluda, A Division Of Self Medical Group

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Healthcare North Saluda, A Division Of Self Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20210514000489Part A · Rural Health ClinicDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0693546

Family Healthcare - North Saluda · Saluda, SC
Active · expires Nov 20, 2026
CLIA Number42D0693546
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorDr. Ralph N. Riley
Laboratory Phone(864) 445-2500
Laboratory LocationFamily Healthcare - North Saluda3165 Newberry Highway, Saluda, SC 29138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
3165 NEWBERRY HWY
SALUDA, SC 29138

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 1184219214. It was assigned to this organization in the NPPES registry on March 1, 2021. The provider is also known as Family Healthcare North Saluda, A Division Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 3165 Newberry Hwy, Saluda, SC 29138. The listed phone number is (864) 445-2500.

What is Self Medical Group's specialty?

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

Is Self Medical Group enrolled in Medicare?

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

When is Self Medical Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (South Carolina, Rural Health Clinic) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Self Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0693546) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Self Medical Group accept?

Health plans from BlueCross BlueShield of South 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 October 20, 2023. 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.