1. Home
  2. Directory
  3. South Carolina
  4. Greenwood
  5. Psychiatry Neurology
  6. NPI Profile

WESTERN CAROLINA PSYCHIATRIC ASSOCIATES A DIVISION OF SELF MEDICAL GRO
NPI 1205141371
Psychiatry & Neurology - Psychiatry in Greenwood, SC

Active since August 13, 2010CLIA 42D2099914 · Waiver
1033 EDGEFIELD ST, GREENWOOD, SC 29646(864) 227-3908(864) 227-2668 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Western Carolina Psychiatric Associates A Division Of Self Medical Gro NPPES

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

WESTERN CAROLINA PSYCHIATRIC ASSOCIATES A DIVISION OF SELF MEDICAL GRO (NPI 1205141371) is a healthcare organization registered as a psychiatry in Greenwood, South Carolina and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Matthew T Logan, President And Chief Executive Offic, as its authorized official.

NPPES Registry Identity

NPI1205141371
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSELF MEDICAL GROUP
Location Address1033 EDGEFIELD STGreenwood, SC 29646-3205
Mailing Address1033 Edgefield StGreenwood, SC 29646-3205 · (864) 227-3908 · Fax (864) 227-2668
Phone(864) 227-3908
Fax(864) 227-2668
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Chief Executive Offic · (864) 725-4253
Enumeration DateAugust 13, 2010
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1205141371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1033 EDGEFIELD ST, Greenwood, SC 29646
Open in Google Maps ↗

Other Names 1

Other NameWestern Carolina Psychiatric Associates A Division Of Self Medical Gro

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 MULTIPLE 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, BlueCross BlueShield of South Carolina and more.Insurance ›

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 of Waiver 42D2099914

Western Carolina Psychiatric Associates · Greenwood, SC
Active · expires Aug 3, 2027
CLIA Number42D2099914
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorVioleta Nistor
Laboratory Phone(864) 227-3908
Laboratory LocationWestern Carolina Psychiatric Associates1033 Edgefield Street, Greenwood, SC 29646
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DR. KUNAL ANILBHAI PATEL M.D.
Psychiatry & Neurology (Psychiatry)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Greenwood County (864) 227-3908
MACHELLE BOLDEN
Counselor (Professional)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Greenwood County (864) 227-3908
MARIAH MONTANA ADEN PA-C
Physician Assistant
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Greenwood County (864) 227-3908
JENNIFER C DUFFIE LISW-CP
Social Worker (Clinical)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Greenwood County (864) 227-3908
KELLY A. GALLAGHER-KILEY LCSW
Social Worker (Clinical)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Greenwood County (864) 227-3908
PEGGY D MANALICH MSW
Social Worker (Clinical)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Greenwood County (864) 227-3908
MS. ADRIENNE NIKISHA LOGAN LISW-CP
Social Worker (Clinical)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Greenwood County (864) 227-3908
BETHANY CHARLENE WADE LPC-A
Counselor (Professional)
1033 EDGEFIELD ST
GREENWOOD, SC 29646
Greenwood County (864) 227-3908

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 1205141371. It was assigned to this organization in the NPPES registry on August 13, 2010. The provider is also known as Western Carolina Psychiatric Associates A Division Of Self Medical Gro.

Where is Self Medical Group located?

Self Medical Group is located at 1033 Edgefield St, Greenwood, SC 29646. The listed phone number is (864) 227-3908.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Self Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2099914) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Self Medical Group accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, 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 December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.