FAMILY HEALTHCARE NORTH GREENWOOD, A DIVISION OF SELF MEDICAL GROUP - NPI 1811383003

Q: What is Self Medical Group's NPI number?

The NPI number for Self Medical Group is 1811383003. It was assigned to this organization in the NPPES registry on April 14, 2015. The provider is also known as Family Healthcare North Greenwood, A Division Of Self Medical Group.

Q: What is Self Medical Group's specialty?

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

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About Family Healthcare North Greenwood, A Division Of Self Medical Group NPPES

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

FAMILY HEALTHCARE NORTH GREENWOOD, A DIVISION OF SELF MEDICAL GROUP (NPI 1811383003) is a healthcare organization registered as a family medicine in Hodges, South Carolina and active in the NPI registry since April 2015. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1811383003

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSELF MEDICAL GROUP

Location Address3410 COKESBURY RDHodges, SC 29653-9181

Mailing Address3410 Cokesbury RdHodges, SC 29653-9181 · (864) 227-2900

Phone(864) 227-2900

Organization SubpartNo

Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253

Enumeration DateApril 14, 2015

Last NPPES UpdateDecember 14, 2021

NPPES CertifiedDecember 14, 2021

✔ NPI 1811383003 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.

3410 COKESBURY RD, Hodges, SC 29653

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Other Names 1

Other NameFamily Healthcare North Greenwood, A Division Of Self Medical Group

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, First Choice Next 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) 42D0872680

Family Healthcare-North Greenwood · Hodges, SC

Active · expires Dec 22, 2027

CLIA Number42D0872680

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorRobin C. Stone

Laboratory Phone(864) 227-2099

Laboratory LocationFamily Healthcare-North Greenwood3410 Cokesbury Road, Hodges, SC 29653

CLIA data matches this NPI record on: Address Name

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 9

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

MR. WILLIAM EDWARD FOWLER MD

Family Medicine