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FAMILY HEALTHCARE CORONACA, A DIVISION OF SELF MEDICAL GROUP
NPI 1750800264
Family Medicine in Greenwood, SC

Active since September 15, 2017CLIA 42D2145489 · Microscopy
110 HIGHWAY 246 N, GREENWOOD, SC 29649(864) 725-1750(864) 725-1762 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Dec 14, 2021, Sep 15, 2017 (3 updates tracked since 2017).

About Family Healthcare Coronaca, A Division Of Self Medical Group NPPES

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

FAMILY HEALTHCARE CORONACA, A DIVISION OF SELF MEDICAL GROUP (NPI 1750800264) is a healthcare organization registered as a family medicine in Greenwood, South Carolina and active in the NPI registry since September 2017. The organization holds a CLIA Microscopy certificate valid through March 7, 2028, maintains a secondary practice location in Greenwood, and lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1750800264
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELF MEDICAL GROUP
Location Address110 HIGHWAY 246 NGreenwood, SC 29649-8748
Mailing Address110 Highway 246 NGreenwood, SC 29649-8748 · (864) 725-1750 · Fax (864) 725-1762
Phone(864) 725-1750
Fax(864) 725-1762
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateSeptember 15, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1750800264 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.
110 HIGHWAY 246 N, Greenwood, SC 29649
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Other Names 1

Other NameFamily Healthcare Coronaca, A Division Of Self Medical Group

Secondary Practice Location 1

Location 1110 Highway 246 NGreenwood, SC 29649-8748 · Phone (864) 725-1750 · Fax (864) 725-1763

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2145489

Family Healthcare Coronaca · Greenwood, SC
Active · expires Mar 7, 2028
CLIA Number42D2145489
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorGrayson Sumner
Laboratory Phone(864) 725-1750
Laboratory LocationFamily Healthcare Coronaca110 Hwy 246N, Greenwood, SC 29649
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

SELF REGIONAL HEALTHCARE
Clinic/Center (Rural Health)
110 HIGHWAY 246 N
GREENWOOD, SC 29649
Greenwood County (864) 725-1750
LINSEY YARBROUGH MCCALLUM PA-C
Physician Assistant
110 HIGHWAY 246 N
GREENWOOD, SC 29649
Greenwood County (864) 725-1750
GRAYSON SUMNER DO
Family Medicine
110 HIGHWAY 246 N
GREENWOOD, SC 29649
Greenwood County (864) 725-1750
SELF REGIONAL HEALTHCARE
Family Medicine
110 HIGHWAY 246 N
GREENWOOD, SC 29649
Greenwood County (864) 725-1750
DR. MAYADA ELIAN MD
Family Medicine
110 HIGHWAY 246 N
GREENWOOD, SC 29649
Greenwood County (864) 725-1750

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 1750800264. It was assigned to this organization in the NPPES registry on September 15, 2017. The provider is also known as Family Healthcare Coronaca, A Division Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 110 Highway 246 N, Greenwood, SC 29649. The listed phone number is (864) 725-1750.

What is Self Medical Group's specialty?

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

Does Self Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2145489) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Self Medical Group accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, 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 July 21, 2022. 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.