FAMILY HEALTHCARE WEST GREENWOOD, A DIVISION OF SELF MEDICAL GROUP
NPI 1376930875
Family Medicine in Greenwood, SC

Active since April 22, 2015CLIA 42D0937488 · Microscopy
1228 HIGHWAY 72 W, GREENWOOD, SC 29649(864) 943-0549 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Healthcare West Greenwood, A Division Of Self Medical Group NPPES

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

FAMILY HEALTHCARE WEST GREENWOOD, A DIVISION OF SELF MEDICAL GROUP (NPI 1376930875) is a healthcare organization registered as a family medicine in Greenwood, South Carolina and active in the NPI registry since April 2015. The organization holds a CLIA Microscopy certificate valid through December 16, 2027 and lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1376930875
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELF MEDICAL GROUP
Location Address1228 HIGHWAY 72 WGreenwood, SC 29649-1816
Mailing Address1228 Highway 72 WGreenwood, SC 29649-1816 · (864) 943-0549
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateApril 22, 2015
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1376930875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1228 HIGHWAY 72 W, Greenwood, SC 29649

Other Names 1

Other NameFamily Healthcare West Greenwood, A Division Of Self Medical Group

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Healthcare West Greenwood, A Division Of Self Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

560

Medicare enrollment records show 560 clinicians reassign Medicare billing to Family Healthcare West Greenwood, A Division Of Self Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 302 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 43

Family Practice95
Nurse Practitioner87
Emergency Medicine59
Certified Registered Nurse Anesthetist (CRNA)36
Internal Medicine34
Anesthesiology24
Diagnostic Radiology22
Gastroenterology17
35 other specialties186

Nearest to this location (20)

See all 560
Family Practice
NPI 1922092345
1228 HIGHWAY 72 W
Greenwood, SC 29649
(864) 943-0549
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1538153861
1228 HIGHWAY 72 W
Greenwood, SC 29649
(864) 943-0549
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1407887318
1228 HIGHWAY 72 W
Greenwood, SC 29649
(864) 943-0549
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114969326
116 VENTURE COURT
Greenwood, SC 29649
(864) 725-5594
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1750519278
102 ROCKCREEK BLVD
Greenwood, SC 29649
(864) 725-5020
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1154038800
102 ROCKCREEK BLVD
Greenwood, SC 29649
(864) 725-5020
✔ PECOS✔ Accepts Medicare2.1 mi
Pediatric Medicine
NPI 1902202096
113 LINER DR
Greenwood, SC 29646
(864) 941-8170
✔ PECOS2.2 mi
Sports Medicine
NPI 1649375684
102 GREGOR MENDEL CIR
Greenwood, SC 29646
(864) 229-2663
✔ PECOS✔ Accepts Medicare2.2 mi
Orthopedic Surgery
NPI 1093810723
102 GREGOR MENDEL CIR
Greenwood, SC 29646
(864) 229-2663
✔ PECOS2.2 mi
Hand Surgery
NPI 1285739219
102 GREGOR MENDEL CIR
Greenwood, SC 29646
(864) 229-2663
✔ PECOS✔ Accepts Medicare2.2 mi
Qualified Audiologist
NPI 1194909333
1015 SPRING ST
Greenwood, SC 29646
(864) 227-0444
2.2 mi
Otolaryngology
NPI 1982788725
1015 SPRING ST
Greenwood, SC 29646
(864) 227-6741
✔ PECOS✔ Accepts Medicare2.2 mi
Psychiatry
NPI 1346479847
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts Medicare2.2 mi
Mental Health Counselor
NPI 1043995236
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts Medicare2.2 mi
Clinical Social Worker
NPI 1154316404
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts Medicare2.2 mi
Nephrology
NPI 1255773784
1123 SPRING ST
Greenwood, SC 29646
(864) 450-9036
✔ PECOS✔ Accepts Medicare2.3 mi
Urology
NPI 1245293455
109 LINER DR
Greenwood, SC 29646
(864) 227-6401
✔ PECOS✔ Accepts Medicare2.3 mi
Obstetrics/Gynecology
NPI 1770549248
106 LINER DRIVE
Greenwood, SC 29646
(864) 227-6371
✔ PECOS✔ Accepts Medicare2.3 mi
Gastroenterology
NPI 1881687093
103 LINER DR
Greenwood, SC 29646
(864) 227-3636
✔ PECOS✔ Accepts Medicare2.3 mi
Internal Medicine
NPI 1942296074
104 LINER DR
Greenwood, SC 29646
(864) 227-1115
✔ PECOS✔ Accepts Medicare2.4 mi
See all 560 clinicians

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 for Provider-Performed Microscopy Procedures (PPMP) 42D0937488

Self Medical Group Family Healthcare - West Greenwood · Greenwood, SC
Active · expires Dec 16, 2027
CLIA Number42D0937488
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorBryan K. Ellenberg
Laboratory Phone(864) 943-0549
Laboratory LocationSelf Medical Group Family Healthcare - West Greenwood1228 Highway 72W, Greenwood, SC 29649
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1376930875. It was assigned to this organization in the NPPES registry on April 22, 2015. The provider is also known as Family Healthcare West Greenwood, A Division Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 1228 Highway 72 W, Greenwood, SC 29649. The listed phone number is (864) 943-0549.

What is Self Medical Group's specialty?

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

Is Self Medical Group enrolled in Medicare?

Yes. Self Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Self Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 560 clinicians in 43 Medicare specialties reassign their Medicare billing to Self Medical Group. 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 (95), Nurse Practitioner (87) and Emergency Medicine (59). Of these, 3 practice at this address and 302 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Self Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0937488) is associated with this NPI, valid through December 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Self Medical Group accept?

Health plans from First Choice Next 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.