SELF REGIONAL HEALTHCARE PARTNERS
NPI 1205723194
Clinic/Center - Rural Health in Johnston, SC

Active since June 23, 2025
801 MOBLEY ST, JOHNSTON, SC 29832(803) 275-4653 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Self Regional Healthcare Partners NPPES

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

SELF REGIONAL HEALTHCARE PARTNERS (NPI 1205723194), doing business as Self Medical Center Johnston, is a healthcare organization registered as a rural health in Johnston, South Carolina and active in the NPI registry since June 2025. The organization lists Matthew Tolbert Logan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1205723194
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSELF REGIONAL HEALTHCARE PARTNERS
Location Address801 MOBLEY STJohnston, SC 29832-1366
Mailing Address1325 Spring StGreenwood, SC 29646-3860 · (864) 725-4111
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
NPI 1205723194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
801 MOBLEY ST, Johnston, SC 29832

Other Names 1

Doing Business AsSelf Medical Center Johnston

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.

Clinic/Center (Rural Health)
801 MOBLEY ST
JOHNSTON, SC 29832
Family Medicine
801 MOBLEY ST
JOHNSTON, SC 29832
Nurse Practitioner
801 MOBLEY ST
JOHNSTON, SC 29832
Family Medicine
801 MOBLEY ST
JOHNSTON, SC 29832

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 Regional Healthcare Partners's NPI number?

The NPI number for Self Regional Healthcare Partners is 1205723194. It was assigned to this organization in the NPPES registry on June 23, 2025. The provider is doing business as Self Medical Center Johnston.

Where is Self Regional Healthcare Partners located?

Self Regional Healthcare Partners is located at 801 Mobley St, Johnston, SC 29832. The listed phone number is (803) 275-4653.

What is Self Regional Healthcare Partners's specialty?

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

When was this NPI record last updated?

The NPPES record for Self Regional Healthcare Partners was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.