COURTNEY GREGG SELF MD
NPI 1205196037
Pediatrics in Matthews, NC
About Courtney Gregg Self Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY GREGG SELF MD (NPI 1205196037) is an individual pediatrics provider in Matthews, North Carolina, licensed in North Carolina (2017-02197) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Courtney Gregg Self Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Courtney Self reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Matthews, NC 28105
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Courtney Self's NPI number?
The NPI number for Courtney Self is 1205196037. It was assigned to this individual provider in the NPPES registry on May 28, 2012.
Where is Courtney Self located?
Courtney Self practices at 201 E Matthews St Ste 100, Matthews, NC 28105. The listed phone number is (704) 847-0572.
What is Courtney Self's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Courtney Self enrolled in Medicare?
Yes. Courtney Self is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Courtney Self's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Self reassigns Medicare benefits to Novant Health Medical Group, LLC (Matthews, NC). The 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 Courtney Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Self accept?
Health plans from Cigna Healthcare list Courtney Self 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 Courtney Self was last updated on September 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.
# Courtney Gregg Self, MD · NPI 1205196037
Pediatrics physician in Matthews, North Carolina. Individual provider, active in the CMS NPPES registry since May 28, 2012.
## Identity
- **NPI:** 1205196037 (Entity type: Individual)
- **Enumerated:** May 28, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2017-02197 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 E MATTHEWS ST STE 100, Matthews, NC 28105
- **Phone:** (704) 847-0572 · **Fax:** (704) 849-9760
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Novant Health Medical Group, LLC (NPI 1760985618, Matthews, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205196037) · Data from the CMS NPPES public registry.