MONTGOMERY CENTER FOR FAMILY MEDICINE OF SRH
NPI 1326067703
Family Medicine in Greenwood, SC
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
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)
Montgomery Center For Family Medicine Of Srh 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.
Clinicians Billing Medicare Through This Organization
231Medicare enrollment records show 231 clinicians reassign Medicare billing to Montgomery Center For Family Medicine Of Srh, which bills Medicare for the services they deliver. Of these, 36 practice at this address and 156 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 231Greenwood, SC 29646
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, SCFrequently 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.
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, 36 practice at this address and 156 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer 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.
# Montgomery Center For Family Medicine Of Srh · NPI 1326067703
Family Medicine organization in Greenwood, South Carolina. Organization record, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1326067703 (Entity type: Organization)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Self Regional Healthcare
- **Organization subpart:** No
- **Authorized official:** Matthew Logan, PRESIDENT & CEO
## Practice location
- **Address:** 155 ACADEMY AVE, Greenwood, SC 29646-3869
- **Phone:** (864) 725-4865 · **Fax:** (864) 725-4883
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 231 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (76), Nurse Practitioner (65), Obstetrics/Gynecology (19); 36 practice at this address and 156 within 10 miles; [full list](https://npiprofile.com/npi/1326067703/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2021
- **Other identifiers:** Medicaid PC3251 (SC); Other CE6182
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326067703) · Data from the CMS NPPES public registry.