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SELF REGIONAL HEALTHCARE
NPI 1467378828
Family Medicine in Clinton, SC

Active since June 29, 2026
119 JACOBS HWY, CLINTON, SC 29325(864) 725-1480(864) 725-1481 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1467378828), doing business as Self Medical Center Clinton, is a healthcare organization registered as a family medicine in Clinton, South Carolina and active in the NPI registry since June 2026. The organization lists Matthew Tolbert Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1467378828
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address119 JACOBS HWYClinton, SC 29325-7276
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424
Phone(864) 725-1480
Fax(864) 725-1481
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident And Ceo · (864) 725-4780
Enumeration DateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1467378828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
119 JACOBS HWY, Clinton, SC 29325
Open in Google Maps ↗

Other Names 1

Doing Business AsSelf Medical Center Clinton

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Self Regional Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20051214000767Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

231

Medicare enrollment records show 231 clinicians reassign Medicare billing to Self Regional Healthcare, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Family Practice76
Nurse Practitioner65
Obstetrics/Gynecology19
Internal Medicine15
Cardiovascular Disease (Cardiology)9
Pediatric Medicine8
Neurology4
Otolaryngology4
18 other specialties31

Nearest to this location (20)

See all 231
Sara Moore
Nurse Practitioner
NPI 1093266520
210 S BROAD ST
Clinton, SC 29325
(864) 833-0973
✔ PECOS✔ Accepts Medicare1.3 mi
Wendy Nix, FNP
Nurse Practitioner
NPI 1760710677
210 S BROAD ST
Clinton, SC 29325
(864) 833-0973
✔ PECOS✔ Accepts Medicare1.3 mi
Peter Partee, MD
Family Practice
NPI 1912945841
22580 HIGHWAY 76 E SUITE 100
Laurens, SC 29360
(864) 833-5986
✔ PECOS✔ Accepts Medicare4.1 mi
Dillard Stephens, DO
Family Practice
NPI 1902302516
22580 HIGHWAY 76 E STE 100
Laurens, SC 29360
(864) 833-5986
✔ PECOS✔ Accepts Medicare4.1 mi
Louis Stephens, MD
Family Practice
NPI 1528001161
22580 HIGHWAY 76 E SUITE 100
Laurens, SC 29360
(864) 833-5986
✔ PECOS✔ Accepts Medicare4.1 mi
Jacquelyn Waldron, NP
Nurse Practitioner
NPI 1982647525
22580 HIGHWAY 76 E SUITE 100
Laurens, SC 29360
(864) 833-5986
✔ PECOS✔ Accepts Medicare4.1 mi
Stanley Walsh, MD
Family Practice
NPI 1891738423
22580 HIGHWAY 76 E SUITE 100
Laurens, SC 29360
(864) 833-5986
✔ PECOS✔ Accepts Medicare4.1 mi
Brian Weirick, D.O.
Internal Medicine
NPI 1669457966
22580 HIGHWAY 76 E SUITE 200
Laurens, SC 29360
(864) 833-0055
✔ PECOS✔ Accepts Medicare4.1 mi
Neal Goodbar, MD
Family Practice
NPI 1386963684
22580 HIGHWAY 76 E STE 200
Laurens, SC 29360
(864) 725-1480
✔ PECOS✔ Accepts Medicare4.1 mi
Hannah Lorenzen, DO
Family Practice
NPI 1447997564
22580 HIGHWAY 76 E STE 100
Laurens, SC 29360
(864) 833-5986
✔ PECOS✔ Accepts Medicare4.1 mi
Bradley Tatko, DO
Family Practice
NPI 1285372243
22580 HIGHWAY 76 E STE 100
Laurens, SC 29360
(864) 833-5986
✔ PECOS✔ Accepts Medicare4.1 mi
Mayada Elian, MD
Family Practice
NPI 1992186027
110 HIGHWAY 246 N
Greenwood, SC 29649
(864) 725-1750
✔ PECOS✔ Accepts Medicare18 mi
Grayson Sumner, DO
Family Practice
NPI 1437508967
110 HIGHWAY 246 N
Greenwood, SC 29649
(864) 725-1750
✔ PECOS✔ Accepts Medicare18 mi
Barbie Johnson
Nurse Practitioner
NPI 1396280137
2605 KINARD ST STE 200
Newberry, SC 29108
(803) 405-1900
✔ PECOS✔ Accepts Medicare19 mi
Kelly Gallagher-Kiley, LCSW
Clinical Social Worker
NPI 1164503348
1033 EDGEFIELD ST
Greenwood, SC 29646
(864) 227-3908
✔ PECOS✔ Accepts Medicare25 mi
Karl Boellert, M.D., M.P.H.
Physical Medicine and Rehabilitation
NPI 1972731917
115 ACADEMY AVE
Greenwood, SC 29646
(864) 725-7272
✔ PECOS✔ Accepts Medicare25 mi
John Cole, M.D.
Neurosurgery
NPI 1457459174
115 ACADEMY AVE
Greenwood, SC 29646
(864) 725-7272
✔ PECOS✔ Accepts Medicare25 mi
Gray Buchanan
Clinical Psychologist
NPI 1386808178
155 ACADEMY AVE
Greenwood, SC 29646
(864) 725-4865
✔ PECOS✔ Accepts Medicare25 mi
Andrea Gregory, M.D.
Pediatric Medicine
NPI 1477873164
155 ACADEMY AVE
Greenwood, SC 29646
(864) 725-4865
✔ PECOS✔ Accepts Medicare25 mi
Jeffrey Thomas, M.D.
General Surgery
NPI 1780679241
160 ACADEMY AVE
Greenwood, SC 29646
(864) 223-8090
✔ PECOS✔ Accepts Medicare25 mi
See all 231 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 Regional Healthcare's NPI number?

The NPI number for Self Regional Healthcare is 1467378828. It was assigned to this organization in the NPPES registry on June 29, 2026. The provider is doing business as Self Medical Center Clinton.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 119 Jacobs Hwy, Clinton, SC 29325. The listed phone number is (864) 725-1480.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Self Regional Healthcare enrolled in Medicare?

Yes. Self Regional Healthcare is registered in the Medicare PECOS enrollment system.

When is Self Regional Healthcare's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Self Regional Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 231 clinicians in 26 Medicare specialties reassign their Medicare billing to Self Regional Healthcare. 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 (76), Nurse Practitioner (65) and Obstetrics/Gynecology (19). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Self Regional Healthcare was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.