COMMUNITY HEALTH SERVICES
NPI 1932847183
Nurse Practitioner in Greenwood, SC

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

The NPI number for Self Medical Group is 1932847183. It was assigned to this organization in the NPPES registry on May 26, 2022. The provider is also known as Community Health Services.

Q: What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 26, 2022

410 EPTING AVE, GREENWOOD, SC 29646(864) 725-6042(864) 725-7892 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2022, May 26, 2022 (2 updates tracked since 2022).

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About Community Health Services NPPES

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

COMMUNITY HEALTH SERVICES (NPI 1932847183) is a healthcare organization registered as a nurse practitioner in Greenwood, South Carolina and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Greenwood and lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1932847183

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSELF MEDICAL GROUP

Location Address410 EPTING AVEGreenwood, SC 29646-4040

Mailing Address410 Epting AveGreenwood, SC 29646-4040 · (864) 725-6042 · Fax (864) 725-7892

Phone(864) 725-6042

Fax(864) 725-7892

Organization SubpartNo

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

Enumeration DateMay 26, 2022

Last NPPES UpdateJune 30, 20222 updates tracked since enumeration

NPPES CertifiedJune 30, 2022

✔ NPI 1932847183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

410 EPTING AVE, Greenwood, SC 29646

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Other Names 1

Other NameCommunity Health Services

Secondary Practice Location 1

Location 11510 Spring StGreenwood, SC 29646-4071 · Phone (864) 725-4111

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

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.

SELF MEDICAL GROUP

Family Medicine