SELF REGIONAL HEALTHCARE
NPI 1578355087
Internal Medicine - Pulmonary Disease in Greenwood, SC

Active since May 20, 2025
105 VINECREST CT # 1000, GREENWOOD, SC 29646(864) 725-3350(864) 725-3351 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1578355087), doing business as Advanced Pulmonology Associates, is a healthcare organization registered as a pulmonary disease in Greenwood, South Carolina and active in the NPI registry since May 2025. The organization lists Matthew Tolbert Logan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1578355087
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address105 VINECREST CT # 1000Greenwood, SC 29646-8031
Mailing Address1325 Spring StGreenwood, SC 29646-3860 · (864) 725-4673 · Fax (864) 725-7424
Fax(864) 725-3351
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1578355087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
105 VINECREST CT # 1000, Greenwood, SC 29646

Other Names 1

Doing Business AsAdvanced Pulmonology Associates

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, 13 practice at this address and 156 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
Nurse Practitioner
NPI 1902511108
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598720112
105 VINECREST CT # 600
Greenwood, SC 29646
(864) 227-2900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619225430
105 VINECREST CT # 300
Greenwood, SC 29646
(864) 223-6625
✔ PECOSSame address
Family Practice
NPI 1083027650
105 VINECREST CT # 600
Greenwood, SC 29646
(864) 227-2900
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1962498998
105 VINECREST CT # 600
Greenwood, SC 29646
(864) 227-2900
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1518459486
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1104106368
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669664728
105 VINECREST CT # 510
Greenwood, SC 29646
(864) 725-4016
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124682315
105 VINECREST CT STE 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1063079564
105 VINECREST CT # 600
Greenwood, SC 29646
(864) 227-2900
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1801104559
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1023670072
105 VINECREST CT # 1000
Greenwood, SC 29646
(864) 725-3350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205313079
105 VINECREST CT STE 300
Greenwood, SC 29646
(803) 223-6625
✔ PECOSSame address
Pediatric Medicine
NPI 1902202096
113 LINER DR
Greenwood, SC 29646
(864) 941-8170
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1235814484
113 LINER DR
Greenwood, SC 29646
(864) 981-8170
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1104277425
109 LINER DR
Greenwood, SC 29646
(864) 227-6401
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1942296074
104 LINER DR
Greenwood, SC 29646
(864) 227-1115
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1487837514
104 LINER DR
Greenwood, SC 29646
(864) 227-1115
✔ PECOS✔ Accepts Medicare1.0 mi
Infectious Disease
NPI 1467039156
104 LINER DR
Greenwood, SC 29646
(864) 227-1115
✔ PECOS✔ Accepts Medicare1.0 mi
Obstetrics/Gynecology
NPI 1770549248
106 LINER DRIVE
Greenwood, SC 29646
(864) 227-6371
✔ PECOS✔ Accepts Medicare1.0 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 1578355087. It was assigned to this organization in the NPPES registry on May 20, 2025. The provider is doing business as Advanced Pulmonology Associates.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 105 Vinecrest Ct # 1000, Greenwood, SC 29646. The listed phone number is (864) 725-3350.

What is Self Regional Healthcare's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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, 13 practice at this address and 156 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Self Regional Healthcare accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Self Regional Healthcare 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 Regional Healthcare was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.