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SELF REGIONAL HEALTHCARE
NPI 1225838733
Obstetrics & Gynecology in Greenwood, SC

Active since March 14, 2025
106 LINER DR, GREENWOOD, SC 29646(864) 227-6371(864) 227-6345 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1225838733), doing business as Advanced Obstetrics And Gynecology, is a healthcare organization registered as an obstetrics & gynecology in Greenwood, South Carolina and active in the NPI registry since March 2025. The organization lists Matthew Tolbert Logan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1225838733
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address106 LINER DRGreenwood, SC 29646-2310
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424
Phone(864) 227-6371
Fax(864) 227-6345
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1225838733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
106 LINER DR, Greenwood, SC 29646
Open in Google Maps ↗

Other Names 1

Doing Business AsAdvanced Obstetrics And Gynecology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Self Regional Healthcare 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 IDO20051214000767Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

231

Medicare enrollment records show 231 clinicians reassign Medicare billing to Self Regional Healthcare, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 156 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Family Practice76
Nurse Practitioner65
Obstetrics/Gynecology19
Internal Medicine15
Cardiovascular Disease (Cardiology)9
Pediatric Medicine8
Neurology4
Otolaryngology4
18 other specialties31

Nearest to this location (20)

See all 231
Steven Carter, MD
Obstetrics/Gynecology
NPI 1770549248
106 LINER DRIVE
Greenwood, SC 29646
(864) 227-6371
✔ PECOS✔ Accepts MedicareSame address
Jay Erickson, MD
Obstetrics/Gynecology
NPI 1558363077
106 LINER DR
Greenwood, SC 29646
(864) 227-6371
✔ PECOS✔ Accepts MedicareSame address
Robert Murphy, M.D.
Obstetrics/Gynecology
NPI 1205984416
106 LINER DR
Greenwood, SC 29646
(864) 227-6371
✔ PECOSSame address
John Nordeen, M.D.
Obstetrics/Gynecology
NPI 1568403244
106 LINER DR
Greenwood, SC 29646
(864) 227-6371
✔ PECOSSame address
Alexandra Shurling, M.D.
Obstetrics/Gynecology
NPI 1013399914
106 LINER DR
Greenwood, SC 29646
(864) 227-6371
✔ PECOS✔ Accepts MedicareSame address
Emma White, D.O.
Obstetrics/Gynecology
NPI 1861878324
106 LINER DR
Greenwood, SC 29646
(864) 227-6371
✔ PECOS✔ Accepts MedicareSame address
Amy Forrest, MD
Obstetrics/Gynecology
NPI 1477501013
106 LINER DR
Greenwood, SC 29646
(864) 227-6371
✔ PECOS✔ Accepts MedicareSame address
John Russell, MD
Obstetrics/Gynecology
NPI 1619925294
106 LINER DR
Greenwood, SC 29646
(864) 227-6371
✔ PECOS✔ Accepts MedicareSame address
Ashleigh Leopard, APRN
Nurse Practitioner
NPI 1104277425
109 LINER DR
Greenwood, SC 29646
(864) 227-6401
✔ PECOS✔ Accepts MedicareSame address
Samuel Burnett, M.D.
Internal Medicine
NPI 1942296074
104 LINER DR
Greenwood, SC 29646
(864) 227-1115
✔ PECOS✔ Accepts Medicare0.1 mi
Ellen Rhodes, NURSE PRACTITIONER
Nurse Practitioner
NPI 1487837514
104 LINER DR
Greenwood, SC 29646
(864) 227-1115
✔ PECOS✔ Accepts Medicare0.1 mi
Alexander Santos, DO
Infectious Disease
NPI 1467039156
104 LINER DR
Greenwood, SC 29646
(864) 227-1115
✔ PECOS✔ Accepts Medicare0.1 mi
John Cathcart, MD
Sports Medicine
NPI 1649375684
102 GREGOR MENDEL CIR
Greenwood, SC 29646
(864) 229-2663
✔ PECOS✔ Accepts Medicare0.1 mi
Edward Mottern, M.D.
Orthopedic Surgery
NPI 1336554823
102 GREGOR MENDEL CIR
Greenwood, SC 29646
(864) 229-2663
✔ PECOS✔ Accepts Medicare0.1 mi
Viarda Polanco Zacarias, M.D
Pediatric Medicine
NPI 1902202096
113 LINER DR
Greenwood, SC 29646
(864) 941-8170
✔ PECOS0.3 mi
Melissa Bailey, D.O.
Geriatric Medicine
NPI 1801048202
102 KATIE CT
Greenwood, SC 29646
(864) 725-7799
✔ PECOS0.3 mi
Eduardo Cortez-Garcia, D.O.
Neurology
NPI 1740600832
102 KATIE CT
Greenwood, SC 29646
(864) 725-7799
✔ PECOS✔ Accepts Medicare0.3 mi
Smriti Bhatia, MD
Cardiovascular Disease (Cardiology)
NPI 1780237263
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS0.4 mi
Rollo Villareal, MD
Cardiac Electrophysiology
NPI 1568454205
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS✔ Accepts Medicare0.4 mi
Amy Jackson
Family Practice
NPI 1467019943
1132 SPRING ST
Greenwood, SC 29646
(864) 725-1680
✔ PECOS✔ Accepts Medicare0.4 mi
See all 231 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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's NPI number?

The NPI number for Self Regional Healthcare is 1225838733. It was assigned to this organization in the NPPES registry on March 14, 2025. The provider is doing business as Advanced Obstetrics and Gynecology.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 106 Liner Dr, Greenwood, SC 29646. The listed phone number is (864) 227-6371.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Self Regional Healthcare enrolled in Medicare?

Yes. Self Regional Healthcare is registered in the Medicare PECOS enrollment system.

When is Self Regional Healthcare's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) 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.

How many clinicians bill Medicare through Self Regional Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 231 clinicians in 26 Medicare specialties reassign their Medicare billing to Self Regional Healthcare. A 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 the clinician's services. The largest specialties are Family Practice (76), Nurse Practitioner (65) and Obstetrics/Gynecology (19). Of these, 8 practice at this address and 156 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Self Regional Healthcare accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 3 other insurers list Self Regional Healthcare 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 Regional Healthcare was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.