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PEDIATRIC ASSOCIATES GREENWOOD, A DIVISION OF SELF MEDICAL GROUP
NPI 1720475221
Pediatrics in Greenwood, SC

Active since April 22, 2015
210 WELLS AVE, GREENWOOD, SC 29646(864) 943-4279(864) 223-2642 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2021, Apr 19, 2021, Apr 13, 2021 (3 updates tracked since 2021).

About Pediatric Associates Greenwood, A Division Of Self Medical Group NPPES

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

PEDIATRIC ASSOCIATES GREENWOOD, A DIVISION OF SELF MEDICAL GROUP (NPI 1720475221) is a healthcare organization registered as a pediatrics in Greenwood, South Carolina and active in the NPI registry since April 2015. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1720475221
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSELF MEDICAL GROUP
Location Address210 WELLS AVEGreenwood, SC 29646-3843
Mailing Address210 Wells AveGreenwood, SC 29646-3843 · (864) 943-4279 · Fax (864) 223-2642
Phone(864) 943-4279
Fax(864) 223-2642
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateApril 22, 2015
Last NPPES UpdateDecember 14, 20213 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1720475221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
210 WELLS AVE, Greenwood, SC 29646
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Other Names 1

Other NamePediatric Associates Greenwood, A Division 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, First Choice Next and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

SELF REGIONAL HEALTHCARE
Pediatrics
210 WELLS AVE
GREENWOOD, SC 29646
Greenwood County (864) 943-4279
MIRANDA FITZGERALD MAGEE APRN
Nurse Practitioner (Family)
210 WELLS AVE
GREENWOOD, SC 29646
Greenwood County (864) 943-4279
DR. LINDA L FUQUA MD
Pediatrics
210 WELLS AVE
GREENWOOD, SC 29646
Greenwood County (864) 943-4279
DR. CECILY S HUGHES MD
Pediatrics
210 WELLS AVE
GREENWOOD, SC 29646
Greenwood County (864) 943-4279
MRS. ELIZABETH HAMMOND C.P.N.P.
Nurse Practitioner (Pediatrics)
210 WELLS AVE
GREENWOOD, SC 29646
Greenwood County (864) 943-4279
JOHN DEVORE COMPTON JR. M.D.
Ophthalmology
210 WELLS AVE
GREENWOOD, SC 29646
Greenwood County (864) 227-2020
DR. HEATHER S GALLMAN MD
Pediatrics
210 WELLS AVE
GREENWOOD, SC 29646
Greenwood County (864) 943-4279

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 1720475221. It was assigned to this organization in the NPPES registry on April 22, 2015. The provider is also known as Pediatric Associates Greenwood, A Division Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 210 Wells Ave, Greenwood, SC 29646. The listed phone number is (864) 943-4279.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Self Medical Group accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer 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.