SELF REGIONAL HEALTHCARE
NPI 1285502559
Psychiatry & Neurology - Neurology in Greenwood, SC

Active since October 28, 2025
102 KATIE CT, GREENWOOD, SC 29646(864) 725-7800 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, May 19, 2026 (2 updates tracked since 2026).

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1285502559), doing business as Self Regional Neurology, is a healthcare organization registered as a neurology in Greenwood, South Carolina and active in the NPI registry since October 2025. The organization lists Matthew Tolbert Logan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1285502559
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address102 KATIE CTGreenwood, SC 29646-4068
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateOctober 28, 2025
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1285502559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X
102 KATIE CT, Greenwood, SC 29646

Other Names 1

Doing Business AsSelf Regional Neurology

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

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, 4 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
Geriatric Medicine
NPI 1801048202
102 KATIE CT
Greenwood, SC 29646
(864) 725-7799
✔ PECOSSame address
Neurology
NPI 1740600832
102 KATIE CT
Greenwood, SC 29646
(864) 725-7799
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1780858753
102 KATIE CT
Greenwood, SC 29646
(864) 725-7799
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1972845766
102 KATIE CT
Greenwood, SC 29646
(864) 725-7799
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417259664
408 W ALEXANDER AVE
Greenwood, SC 29646
(864) 227-9393
✔ PECOS✔ Accepts Medicare0.1 mi
General Practice
NPI 1558408179
410 EPTING AVE
Greenwood, SC 29646
(864) 725-7880
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1780237263
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS0.2 mi
Internal Medicine
NPI 1447755574
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiac Electrophysiology
NPI 1568454205
421 EPTING AVE
Greenwood, SC 29646
(864) 227-6818
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1467136135
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts Medicare0.2 mi
Interventional Pain Management
NPI 1780113506
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts Medicare0.2 mi
Anesthesiology
NPI 1578596995
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts Medicare0.2 mi
Pain Management
NPI 1154909612
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS0.2 mi
Podiatry
NPI 1508495680
1506 SPRING ST
Greenwood, SC 29646
(864) 725-7430
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1477501013
106 LINER DR
Greenwood, SC 29646
(864) 227-6371
✔ PECOS✔ Accepts Medicare0.3 mi
Infectious Disease
NPI 1467039156
104 LINER DR
Greenwood, SC 29646
(864) 227-1115
✔ PECOS✔ Accepts Medicare0.3 mi
Sports Medicine
NPI 1649375684
102 GREGOR MENDEL CIR
Greenwood, SC 29646
(864) 229-2663
✔ PECOS✔ Accepts Medicare0.3 mi
Orthopedic Surgery
NPI 1336554823
102 GREGOR MENDEL CIR
Greenwood, SC 29646
(864) 229-2663
✔ PECOS✔ Accepts Medicare0.3 mi
Nephrology
NPI 1255773784
1123 SPRING ST
Greenwood, SC 29646
(864) 450-9036
✔ PECOS✔ Accepts Medicare0.3 mi
Qualified Audiologist
NPI 1902644677
1015 SPRING ST
Greenwood, SC 29646
(864) 227-6741
✔ 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 1285502559. It was assigned to this organization in the NPPES registry on October 28, 2025. The provider is doing business as Self Regional Neurology.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 102 Katie Ct, Greenwood, SC 29646. The listed phone number is (864) 725-7800.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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, 4 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 BlueCross BlueShield of South Carolina and Molina Healthcare 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 July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.