FAMILY HEALTHCARE SAVANNAH LAKES, A DIVISION OF SELF MEDICAL GROUP
NPI 1629382056
Family Medicine in Mccormick, SC
About Family Healthcare Savannah Lakes, A Division Of Self Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY HEALTHCARE SAVANNAH LAKES, A DIVISION OF SELF MEDICAL GROUP (NPI 1629382056) is a healthcare organization registered as a family medicine in Mccormick, South Carolina and active in the NPI registry since July 2010. The organization lists Matthew T Logan, President And Chief Executive Offic, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Healthcare Savannah Lakes, A Division Of Self Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
560Medicare enrollment records show 560 clinicians reassign Medicare billing to Family Healthcare Savannah Lakes, A Division Of Self Medical Group, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 43
Nearest to this location (20)
See all 560Source: 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 Medical Group's NPI number?
The NPI number for Self Medical Group is 1629382056. It was assigned to this organization in the NPPES registry on July 27, 2010. The provider is also known as Family Healthcare Savannah Lakes, A Division Of Self Medical Group.
Where is Self Medical Group located?
Self Medical Group is located at 207 Holiday Road, Mccormick, SC 29835. The listed phone number is (864) 391-5011.
What is Self Medical Group's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Self Medical Group enrolled in Medicare?
Yes. Self Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Self Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 560 clinicians in 43 Medicare specialties reassign their Medicare billing to Self Medical Group. 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 (95), Nurse Practitioner (87) and Emergency Medicine (59). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Self Medical Group accept?
Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Family Healthcare Savannah Lakes, A Division Of Self Medical Group · NPI 1629382056
Family Medicine organization in Mccormick, South Carolina. Organization record, active in the CMS NPPES registry since July 27, 2010.
## Identity
- **NPI:** 1629382056 (Entity type: Organization)
- **Enumerated:** July 27, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Self Medical Group
- **Organization subpart:** No
- **Authorized official:** Matthew Logan, PRESIDENT AND CHIEF EXECUTIVE OFFIC
## Practice location
- **Address:** 207 HOLIDAY ROAD, Mccormick, SC 29835-3430
- **Phone:** (864) 391-5011 · **Fax:** (864) 391-5012
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 560 clinicians in 43 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (95), Nurse Practitioner (87), Emergency Medicine (59); 3 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1629382056/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629382056) · Data from the CMS NPPES public registry.