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READY FOR SURGERY CLINIC OF SELF MEDICAL GROUP
NPI 1487212130
Family Medicine in Greenwood, SC

Active since May 29, 2019
105 VINECREST CT # 510, GREENWOOD, SC 29646(864) 725-4016(864) 725-5839 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2021, Sep 11, 2019, Aug 5, 2019 and 1 more (4 updates tracked since 2019).

About Ready For Surgery Clinic Of Self Medical Group NPPES

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

READY FOR SURGERY CLINIC OF SELF MEDICAL GROUP (NPI 1487212130) is a healthcare organization registered as a family medicine in Greenwood, South Carolina and active in the NPI registry since May 2019. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1487212130
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELF MEDICAL GROUP
Location Address105 VINECREST CT # 510Greenwood, SC 29646-8031
Mailing Address105 Vinecrest Ct # 510Greenwood, SC 29646-8031 · (864) 725-4016 · Fax (864) 725-5839
Phone(864) 725-4016
Fax(864) 725-5839
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateMay 29, 2019
Last NPPES UpdateDecember 14, 20214 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1487212130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

105 VINECREST CT # 510, Greenwood, SC 29646
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Other Names 1

Other NameReady For Surgery Clinic 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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

MR. JOHN CENAROSA PAGUNTALAN NP
Nurse Practitioner
105 VINECREST CT # 510
GREENWOOD, SC 29646
Greenwood County (864) 725-4016
TASHIA PALMORE TERRY NURSE PRACTITIONER
Nurse Practitioner
105 VINECREST CT # 510
GREENWOOD, SC 29646
Greenwood County (864) 725-4016

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 1487212130. It was assigned to this organization in the NPPES registry on May 29, 2019.

Where is Self Medical Group located?

Self Medical Group is located at 105 Vinecrest Ct # 510, Greenwood, SC 29646. The listed phone number is (864) 725-4016.

What is Self Medical Group's specialty?

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

What insurance does Self Medical Group accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South 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 with the weekly NPPES data releases published by CMS.