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FULL CIRCLE CARE
NPI 1457943185
Internal Medicine in Greenwood, SC

Active since February 04, 2021CLIA 42D2221177 · Waiver
1132 SPRING ST, GREENWOOD, SC 29646(864) 725-1680(864) 725-1683 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2021, Feb 4, 2021 (2 updates tracked since 2021).

About Full Circle Care NPPES

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

FULL CIRCLE CARE (NPI 1457943185) is a healthcare organization registered as an internal medicine in Greenwood, South Carolina and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1457943185
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSELF MEDICAL GROUP
Location Address1132 SPRING STGreenwood, SC 29646-3859
Mailing Address1132 Spring StGreenwood, SC 29646-3859 · (864) 725-1680 · Fax (864) 725-1683
Phone(864) 725-1680
Fax(864) 725-1683
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateFebruary 4, 2021
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1457943185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
1132 SPRING ST, Greenwood, SC 29646
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Other Names 1

Other NameFull Circle Care

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 42D2221177

Full Circle Care · Greenwood, SC
Active · expires Apr 19, 2027
CLIA Number42D2221177
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDr. Katherine Johnson
Laboratory Phone(864) 725-1680
Laboratory LocationFull Circle Care1132 Spring Street, Greenwood, SC 29646
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CARLIE I MAPP LRD
Dietitian, Registered
1132 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-1680
SELF REGIONAL HEALTHCARE
Family Medicine
1132 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-1680
AMY R JACKSON
Family Medicine
1132 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-1680
KATHERINE JOHNSON MD
Internal Medicine (Diabetology)
1132 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-1680

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 1457943185. It was assigned to this organization in the NPPES registry on February 4, 2021. The provider is also known as Full Circle Care.

Where is Self Medical Group located?

Self Medical Group is located at 1132 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-1680.

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 42D2221177) is associated with this NPI, valid through April 19, 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.