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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: August 09, 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
Phone(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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and more.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 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.

Other Providers at the Same Location NPPES 8

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

SELF REGIONAL HEALTHCARE
Family Medicine
1228 HIGHWAY 72 W
GREENWOOD, SC 29649
Greenwood County (864) 943-0549
DR. JOHN VINCENT MAYLOCK M.D.
Family Medicine
1228 HIGHWAY 72 W
GREENWOOD, SC 29649
Greenwood County (864) 943-0549
PHILLIP WAYNE JANSEN D.O.
Family Medicine
1228 HIGHWAY 72 W
GREENWOOD, SC 29649
Greenwood County (864) 943-0549
SELF REGIONAL HEALTHCARE
Clinic/Center (Rural Health)
1228 HIGHWAY 72 W
GREENWOOD, SC 29649
Greenwood County (864) 943-0549
DR. JOHN M ERGLE MD
Family Medicine
1228 HIGHWAY 72 W
GREENWOOD, SC 29649
Greenwood County (864) 943-0549
PAULA B HAYNES APRN
Nurse Practitioner (Family)
1228 HIGHWAY 72 W
GREENWOOD, SC 29649
Greenwood County (864) 943-0549
DR. CARA A FRIEZ MD
Family Medicine
1228 HIGHWAY 72 W
GREENWOOD, SC 29649
Greenwood County (864) 943-0549
DR. BRYAN K ELLENBERG MD
Family Medicine
1228 HIGHWAY 72 W
GREENWOOD, SC 29649
Greenwood County (864) 943-0549

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.

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 Ambetter from Absolute Total Care, Ambetter of North 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.