ADVANCED PULMONOLOGY ASSOCIATES, A DIVISION OF SELF MEDICAL GROUP
NPI 1417348459
Internal Medicine - Pulmonary Disease in Greenwood, SC

Active since February 12, 2015
105 VINECREST CT # 1000, GREENWOOD, SC 29646(864) 725-7491 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Pulmonology Associates, A Division Of Self Medical Group NPPES

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

ADVANCED PULMONOLOGY ASSOCIATES, A DIVISION OF SELF MEDICAL GROUP (NPI 1417348459) is a healthcare organization registered as a pulmonary disease in Greenwood, South Carolina and active in the NPI registry since February 2015. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1417348459
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSELF MEDICAL GROUP
Location Address105 VINECREST CT # 1000Greenwood, SC 29646-8031
Mailing Address105 Vinecrest Ct # 1000Greenwood, SC 29646-8031
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateFebruary 12, 2015
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1417348459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
105 VINECREST CT # 1000, Greenwood, SC 29646

Other Names 1

Other NameAdvanced Pulmonology Associates, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Pulmonology Associates, 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 Advanced Pulmonology Associates, A Division Of Self Medical Group, which bills Medicare for the services they deliver. Of these, 13 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
Nurse Practitioner
NPI 1902511108
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619225430
105 VINECREST CT # 300
Greenwood, SC 29646
(864) 223-6625
✔ PECOSSame address
Family Practice
NPI 1083027650
105 VINECREST CT # 600
Greenwood, SC 29646
(864) 227-2900
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1962498998
105 VINECREST CT # 600
Greenwood, SC 29646
(864) 227-2900
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1518459486
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1104106368
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669664728
105 VINECREST CT # 510
Greenwood, SC 29646
(864) 725-4016
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124682315
105 VINECREST CT STE 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1063079564
105 VINECREST CT # 600
Greenwood, SC 29646
(864) 227-2900
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1801104559
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447722533
105 VINECREST CT # 510
Greenwood, SC 29646
(864) 725-4016
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1023670072
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1407842198
105 VINECREST CT # 300
Greenwood, SC 29646
(864) 223-6625
✔ PECOSSame address
Nurse Practitioner
NPI 1639809346
917 BYPASS 225 S
Greenwood, SC 29646
(864) 227-5240
✔ PECOS✔ Accepts Medicare0.5 mi
Neurology
NPI 1700886009
917 BYPASS 225 S
Greenwood, SC 29646
(864) 227-5240
✔ PECOS✔ Accepts Medicare0.5 mi
Neurology
NPI 1487654034
917 BYPASS 225 S
Greenwood, SC 29646
(864) 227-5240
✔ PECOS✔ Accepts Medicare0.5 mi
Pediatric Medicine
NPI 1902202096
113 LINER DR
Greenwood, SC 29646
(864) 941-8170
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1235814484
113 LINER DR
Greenwood, SC 29646
(864) 981-8170
✔ PECOS✔ Accepts Medicare0.9 mi
Gastroenterology
NPI 1881687093
103 LINER DR
Greenwood, SC 29646
(864) 227-3636
✔ PECOS✔ Accepts Medicare1.0 mi
Urology
NPI 1245293455
109 LINER DR
Greenwood, SC 29646
(864) 227-6401
✔ PECOS✔ Accepts Medicare1.0 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.

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 1417348459. It was assigned to this organization in the NPPES registry on February 12, 2015. The provider is also known as Advanced Pulmonology Associates, A Division Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 105 Vinecrest Ct # 1000, Greenwood, SC 29646. The listed phone number is (864) 725-7491.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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, 13 practice at this address and 302 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Self Medical Group accept?

Health plans from 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.