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SELF REGIONAL HEALTHCARE
NPI 1619775244
Family Medicine in Ninety Six, SC

Active since March 07, 2025
103 LITTLE MOUNTAIN RD, NINETY SIX, SC 29666(864) 543-3515 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Self Regional Healthcare NPPES

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

SELF REGIONAL HEALTHCARE (NPI 1619775244), doing business as Family Healthcare Ninety Six, is a healthcare organization registered as a family medicine in Ninety Six, South Carolina and active in the NPI registry since March 2025. The organization lists Matthew Tolbert Logan, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1619775244
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELF REGIONAL HEALTHCARE
Location Address103 LITTLE MOUNTAIN RDNinety Six, SC 29666-9252
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424
Phone(864) 543-3515
Organization SubpartNo
Authorized OfficialMatthew Tolbert LoganPresident & Ceo · (864) 725-4780
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1619775244 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.
103 LITTLE MOUNTAIN RD, Ninety Six, SC 29666
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Other Names 1

Doing Business AsFamily Healthcare Ninety Six

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

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 11

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

STEPHANIE P LEWIS APRN
Nurse Practitioner (Family)
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Greenwood County (864) 543-3515
SELF REGIONAL HEALTHCARE
Clinic/Center (Rural Health)
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Greenwood County (864) 543-3515
REID D. CASTELLONE MD
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Greenwood County (864) 543-3515
MARY TURNER APRN-FNP
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Greenwood County (864) 543-3515
EMMA LANEY GAMMONS
Physician Assistant
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Greenwood County (864) 543-3515
SELF MEDICAL GROUP
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Greenwood County (864) 543-3515
DR. ROBERT MICHAEL BRYANT MD
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Greenwood County (864) 543-3515
CHELSEA R. CASTELLONE PA-C
Physician Assistant (Medical)
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Greenwood County (864) 543-3515

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 1619775244. It was assigned to this organization in the NPPES registry on March 7, 2025. The provider is doing business as Family Healthcare Ninety Six.

Where is Self Regional Healthcare located?

Self Regional Healthcare is located at 103 Little Mountain Rd, Ninety Six, SC 29666. The listed phone number is (864) 543-3515.

What is Self Regional Healthcare's specialty?

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

What insurance does Self Regional Healthcare accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare 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 March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.