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PROFESSIONAL SERVICES OF SELF MEDICAL GROUP
NPI 1376041798
Internal Medicine - Cardiovascular Disease in Greenwood, SC

Active since January 31, 2018
1325 SPRING ST, GREENWOOD, SC 29646(864) 725-4111(864) 725-7498 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Services Of Self Medical Group NPPES

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

PROFESSIONAL SERVICES OF SELF MEDICAL GROUP (NPI 1376041798) is a healthcare organization registered as a cardiovascular disease in Greenwood, South Carolina and active in the NPI registry since January 2018. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1376041798
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSELF MEDICAL GROUP
Location Address1325 SPRING STGreenwood, SC 29646-3860
Mailing Address1325 Spring StGreenwood, SC 29646-3860 · (864) 725-4111 · Fax (864) 725-7498
Phone(864) 725-4111
Fax(864) 725-7498
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateJanuary 31, 2018
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1376041798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
1325 SPRING ST, Greenwood, SC 29646
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Other Names 1

Other NameProfessional Services Of Self Medical Group

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 of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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.

LAURA DIANE MOON
Nurse Anesthetist, Certified Registered
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4111
WHITNEY PENCE PHARMD
Pharmacist
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-5774
SELF MEDICAL GROUP
Anesthesiology
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4111
SELF REGIONAL HEALTHCARE
Anesthesiology (Pain Medicine)
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4095
CHACKO JOHN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4449
SUSAN STRIEGEL-EDWARDS CRNA
Nurse Anesthetist, Certified Registered
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4111
SELF REGIONAL HEALTHCARE
General Acute Care Hospital
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4252
CODY MICHAEL NYE CRNA
Nurse Anesthetist, Certified Registered
1325 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-4111

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 Medical Group's NPI number?

The NPI number for Self Medical Group is 1376041798. It was assigned to this organization in the NPPES registry on January 31, 2018. The provider is also known as Professional Services Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 1325 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-4111.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does Self Medical Group 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 Medical Group 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 Medical Group 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.