SELF REGIONAL HEALTHCARE
NPI 1417755265
Clinic/Center - Rural Health in Newberry, SC

Active since March 06, 2025
2605 KINARD ST STE 200A, NEWBERRY, SC 29108(803) 405-1900(803) 405-1919 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Mar 7, 2025 (2 updates tracked since 2025).

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1417755265), doing business as Self Medical Center Newberry, is a healthcare organization registered as a rural health in Newberry, South Carolina and active in the NPI registry since March 2025. The organization lists Matthew Tolbert Logan, President& Ceo, as its authorized official.

NPPES Registry Identity

NPI1417755265
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address2605 KINARD ST STE 200ANewberry, SC 29108-2965
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424
Fax(803) 405-1919
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident& Ceo · (864) 725-4780
Enumeration DateMarch 6, 2025
Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
NPI 1417755265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2605 KINARD ST STE 200A, Newberry, SC 29108

Other Names 1

Doing Business AsSelf Medical Center Newberry

Other Providers at the Same Location NPPES

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

Family Medicine
2605 KINARD ST STE 200A
NEWBERRY, SC 29108

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 Regional Healthcare's NPI number?

The NPI number for Self Regional Healthcare is 1417755265. It was assigned to this organization in the NPPES registry on March 6, 2025. The provider is doing business as Self Medical Center Newberry.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 2605 Kinard St Ste 200A, Newberry, SC 29108. The listed phone number is (803) 405-1900.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Self Regional Healthcare was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.