UROLOGICAL SERVICES OF SELF MEDICAL GROUP - NPI 1871809855

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

The NPI number for Self Medical Group is 1871809855. It was assigned to this organization in the NPPES registry on August 27, 2010. The provider is also known as Urological Services Of Self Medical Group.

Q: What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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About Urological Services Of Self Medical Group NPPES

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

UROLOGICAL SERVICES OF SELF MEDICAL GROUP (NPI 1871809855) is a healthcare organization registered as an urology in Greenwood, South Carolina and active in the NPI registry since August 2010. The organization holds a CLIA Microscopy certificate valid through November 24, 2026 and lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1871809855

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameSELF MEDICAL GROUP

Location Address109 LINER DRGreenwood, SC 29646-2311

Mailing Address109 Liner DrGreenwood, SC 29646-2311 · (864) 227-6401 · Fax (864) 941-4995

Phone(864) 227-6401

Fax(864) 941-4995

Organization SubpartNo

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

Enumeration DateAugust 27, 2010

Last NPPES UpdateDecember 14, 20214 updates tracked since enumeration

NPPES CertifiedDecember 14, 2021

✔ NPI 1871809855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

109 LINER DR, Greenwood, SC 29646

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Other Names 1

Other NameUrological Services 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, 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) 42D0252972

Urological Services · Greenwood, SC

Active · expires Nov 24, 2026

CLIA Number42D0252972

Laboratory TypePhysician Office

Certificate Effective DateNovember 25, 2024

Certificate Expiration DateNovember 24, 2026

Laboratory DirectorDr. William Turner

Laboratory Phone(864) 227-6401

Laboratory LocationUrological Services109 Liner Drive, Greenwood, SC 29646

CLIA data matches this NPI record on: Address 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 9

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

ASHLEIGH WILSON LEOPARD APRN

Nurse Practitioner (Family)