MONTGOMERY CENTER FOR FAMILY MEDICINE OF SRH
NPI 1326067703
Family Medicine in Greenwood, SC

Active since July 18, 2006CLIA 42D0252962 · Accreditation
155 ACADEMY AVE, GREENWOOD, SC 29646(864) 725-4865(864) 725-4883 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2021, May 22, 2019 (2 updates tracked since 2019).

About Montgomery Center For Family Medicine Of Srh NPPES

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

MONTGOMERY CENTER FOR FAMILY MEDICINE OF SRH (NPI 1326067703) is a healthcare organization registered as a family medicine in Greenwood, South Carolina and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Matthew T Logan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1326067703
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address155 ACADEMY AVEGreenwood, SC 29646-3869
Mailing Address155 Academy AveGreenwood, SC 29646-3808 · (864) 725-4865 · Fax (864) 725-4883
Fax(864) 725-4883
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident & Ceo · (864) 725-4253
Enumeration DateJuly 18, 2006
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
NPI 1326067703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 038
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
155 ACADEMY AVE, Greenwood, SC 29646

Other Names 1

Doing Business AsMontgomery Center For Family Medicine Of Srh

Other Identifiers 2

MedicaidPC3251SC
OtherCE6182Medicare Rr Group Number

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 Accreditation 42D0252962

Montgomery Center For Family Medicine (self Regional Healthcare) · Greenwood, SC
Active · expires Jan 2, 2027
CLIA Number42D0252962
Laboratory TypeOther
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Andrea Gregory
Laboratory Phone(864) 227-4865
Laboratory LocationMontgomery Center For Family Medicine (self Regional Healthcare)155 Academy Avenue Attn Dr Floyd Hatcher, Greenwood, SC 29646
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
155 ACADEMY AVE
GREENWOOD, SC 29646
Student in an Organized Health Care Education/Training Program
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646
Family Medicine
155 ACADEMY AVE
GREENWOOD, SC 29646

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 1326067703. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Montgomery Center For Family Medicine Of Srh.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 155 Academy Ave, Greenwood, SC 29646. The listed phone number is (864) 725-4865.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Self Regional Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 42D0252962) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Self Regional Healthcare 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 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 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.