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INTERNAL MEDICINE OF GREENWOOD A DIVISION OF SELF MEDICAL GROUP
NPI 1407146715
Internal Medicine in Greenwood, SC

Active since April 08, 2011CLIA 42D0673345 · Waiver
115 OVERLAND DRIVE, GREENWOOD, SC 29646(864) 227-6641(864) 227-3953 Get Directions Write a Review

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

About Internal Medicine Of Greenwood A Division Of Self Medical Group NPPES

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

INTERNAL MEDICINE OF GREENWOOD A DIVISION OF SELF MEDICAL GROUP (NPI 1407146715) is a healthcare organization registered as an internal medicine in Greenwood, South Carolina and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Matthew T Logan, President And Chief Executive Offic, as its authorized official.

NPPES Registry Identity

NPI1407146715
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSELF MEDICAL GROUP
Location Address115 OVERLAND DRIVEGreenwood, SC 29646-4053
Mailing Address115 Overland DriveGreenwood, SC 29646-4053 · (864) 227-6641 · Fax (864) 227-3953
Phone(864) 227-6641
Fax(864) 227-3953
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Chief Executive Offic · (864) 725-4253
Enumeration DateApril 8, 2011
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1407146715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
115 OVERLAND DRIVE, Greenwood, SC 29646
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Other Names 1

Other NameInternal Medicine Of Greenwood A Division 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, 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 of Waiver 42D0673345

Internal Medicine Of Greenwood A Division Of Self Med Grp · Greenwood, SC
Active · expires Oct 26, 2027
CLIA Number42D0673345
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorDr. Kimberly Russell
Laboratory Phone(864) 227-6641
Laboratory LocationInternal Medicine Of Greenwood A Division Of Self Med Grp115 Overland Drive, Greenwood, SC 29646
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ALLAN P TURNER M.D.
Internal Medicine (Nephrology)
115 OVERLAND DRIVE
GREENWOOD, SC 29646
Greenwood County (864) 227-6641

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 1407146715. It was assigned to this organization in the NPPES registry on April 8, 2011. The provider is also known as Internal Medicine Of Greenwood A Division Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 115 Overland Drive, Greenwood, SC 29646. The listed phone number is (864) 227-6641.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Self Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0673345) is associated with this NPI, valid through October 26, 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.