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

NPI Status: Active since March 07, 2025

Contact Information

103 LITTLE MOUNTAIN RD
NINETY SIX, SC
ZIP 29666
Phone: (864) 543-3515

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  • Organization
  • Family Medicine
  • Accepts Insurance

About SELF REGIONAL HEALTHCARE

This page provides the complete NPI Profile along with additional information for Self Regional Healthcare, a primary care provider established in Ninety Six, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1619775244 assigned on March 2025. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Matthew Tolbert Logan (President & Ceo)

NPI
1619775244
Provider Name
SELF REGIONAL HEALTHCARE
Entity Type
Organization
Location Address
103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666
Location Phone
(864) 543-3515
Mailing Address
104 WELLS AVE GREENWOOD, SC 29646
Mailing Phone
(864) 725-4673
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2025
Last Update Date
03-07-2025
Code Navigator

A primary care provider (PCP) like Self Regional Healthcare sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW TOLBERT LOGAN

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(864) 725-4780

Reviews for SELF REGIONAL HEALTHCARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619775244, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 7 → 14 → 5 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 1 + 4 + 7 + 1 + 0 + 2 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1619775244.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Counselor (Professional)
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Internal Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Nurse Practitioner (Family)
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Family Medicine
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Physician Assistant (Medical)
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666
Clinic/Center (Rural Health)
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 29666

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619775244, enumerated as an "organization" on March 07, 2025.

The provider is located at 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 and the phone number is (864) 543-3515.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina and Molina. Please consult your insurance carrier or call the provider to verify.