SALLY SELF MD
NPI 1417978388
Pathology - Anatomic Pathology & Clinical Pathology in Charleston, SC
About Sally Self Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALLY SELF MD (NPI 1417978388) is an individual anatomic pathology & clinical pathology provider in Charleston, South Carolina, licensed in South Carolina (9365) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sally Self Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sally Self reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 9 clinicians in this Medicare group
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, SC 29425
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 Sally Self's NPI number?
The NPI number for Sally Self is 1417978388. It was assigned to this individual provider in the NPPES registry on July 23, 2006.
Where is Sally Self located?
Sally Self practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Sally Self's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Sally Self enrolled in Medicare?
Yes. Sally Self is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sally Self's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sally Self reassigns Medicare benefits to 2 organizations: Medical University Of South Carolina (Charleston, SC) and University Medical Associates Of The Medical University Of South Carol (Charleston, SC). Each 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 Sally Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sally Self was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Sally Self, MD · NPI 1417978388
Anatomic Pathology & Clinical Pathology physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since July 23, 2006.
## Identity
- **NPI:** 1417978388 (Entity type: Individual)
- **Enumerated:** July 23, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 9365 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-0001
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Medical University Of South Carolina (NPI 1437636057, Charleston, SC); University Medical Associates Of The Medical University Of South Carol (NPI 1013934629, Charleston, SC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 093650 (SC); Medicare UPIN C60971 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1417978388) · Data from the CMS NPPES public registry.