SELF REGIONAL HEALTHCARE PARTNERS
NPI 1942197835
Family Medicine in Johnston, SC
About Self Regional Healthcare Partners NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SELF REGIONAL HEALTHCARE PARTNERS (NPI 1942197835), doing business as Self Medical Center Johnston, is a healthcare organization registered as a family medicine in Johnston, South Carolina and active in the NPI registry since June 2025. The organization lists Matthew Tolbert Logan, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Self Regional Healthcare Partners is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
126Medicare enrollment records show 126 clinicians reassign Medicare billing to Self Regional Healthcare Partners, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 126Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Regional Healthcare Partners's NPI number?
The NPI number for Self Regional Healthcare Partners is 1942197835. It was assigned to this organization in the NPPES registry on June 23, 2025. The provider is doing business as Self Medical Center Johnston.
Where is Self Regional Healthcare Partners located?
Self Regional Healthcare Partners is located at 801 Mobley St, Johnston, SC 29832. The listed phone number is (803) 275-4653.
What is Self Regional Healthcare Partners's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Self Regional Healthcare Partners enrolled in Medicare?
Yes. Self Regional Healthcare Partners is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Self Regional Healthcare Partners?
According to the CMS Revalidation Reassignment List (October 2026 release), 126 clinicians in 19 Medicare specialties reassign their Medicare billing to Self Regional Healthcare Partners. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (58), Nurse Practitioner (19) and Emergency Medicine (17). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Self Regional Healthcare Partners accept?
Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Self Regional Healthcare Partners 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 Regional Healthcare Partners was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Self Regional Healthcare Partners · NPI 1942197835
Family Medicine organization in Johnston, South Carolina. Organization record, active in the CMS NPPES registry since June 23, 2025.
## Identity
- **NPI:** 1942197835 (Entity type: Organization)
- **Enumerated:** June 23, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Self Medical Center Johnston (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Matthew Logan, PRESIDENT & CEO
## Practice location
- **Address:** 801 MOBLEY ST, Johnston, SC 29832-1366
- **Phone:** (803) 275-4653
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 126 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (58), Nurse Practitioner (19), Emergency Medicine (17); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1942197835/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942197835) · Data from the CMS NPPES public registry.