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NEPHROLOGY SERVICES OF SELF MEDICAL GROUP
NPI 1205475688
Internal Medicine - Nephrology in Greenwood, SC

Active since January 02, 2020CLIA 42D2230031 · Waiver
1123 SPRING ST, GREENWOOD, SC 29646(864) 450-9036(864) 450-9038 Get Directions Write a Review

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

Record update history: Dec 14, 2021, Jan 2, 2020 (2 updates tracked since 2020).

About Nephrology Services Of Self Medical Group NPPES

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

NEPHROLOGY SERVICES OF SELF MEDICAL GROUP (NPI 1205475688) is a healthcare organization registered as a nephrology in Greenwood, South Carolina and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1205475688
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSELF MEDICAL GROUP
Location Address1123 SPRING STGreenwood, SC 29646-3833
Mailing Address1123 Spring StGreenwood, SC 29646-3833 · (864) 450-9036 · Fax (864) 450-9038
Phone(864) 450-9036
Fax(864) 450-9038
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateJanuary 2, 2020
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1205475688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1123 SPRING ST, Greenwood, SC 29646
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Other Names 1

Other NameNephrology Services Of Self Medical Group

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, 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 42D2230031

Nephrology Services · Greenwood, SC
Active · expires Jul 18, 2027
CLIA Number42D2230031
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorDr. Allan Turner
Laboratory Phone(864) 450-9036
Laboratory LocationNephrology Services1123 Spring St, 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 4

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

DIPESH MAAN M.D.
Internal Medicine (Nephrology)
1123 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 450-9036
DR. CHRISTINE ADEFUIN MURAKAMI M.D.
Internal Medicine (Nephrology)
1123 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 450-9036
MRS. JULIE G BOGGS FNP
Nurse Practitioner (Family)
1123 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 450-9036
MS. ETOY N FLEMMINGS APRN
Nurse Practitioner
1123 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 450-9036

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 1205475688. It was assigned to this organization in the NPPES registry on January 2, 2020. The provider is also known as Nephrology Services Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 1123 Spring St, Greenwood, SC 29646. The listed phone number is (864) 450-9036.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Self Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2230031) is associated with this NPI, valid through July 18, 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.