FAMILY HEALTHCARE WARE SHOALS A DIVISION OF SELF MEDICAL GROUP
NPI 1942528161
Family Medicine in Ware Shoals, SC

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

The NPI number for Self Medical Group is 1942528161. It was assigned to this organization in the NPPES registry on May 12, 2010. The provider is also known as Family Healthcare Ware Shoals 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.

Active since May 12, 2010CLIA 42D0918491 · Microscopy

167 GREENWOOD AVE S, WARE SHOALS, SC 29692(864) 456-3447(864) 725-4979 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 14, 2021, Jul 3, 2019 (2 updates tracked since 2019).

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About Family Healthcare Ware Shoals A Division Of Self Medical Group NPPES

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

FAMILY HEALTHCARE WARE SHOALS A DIVISION OF SELF MEDICAL GROUP (NPI 1942528161) is a healthcare organization registered as a family medicine in Ware Shoals, South Carolina and active in the NPI registry since May 2010. The organization holds a CLIA Microscopy certificate valid through August 11, 2028 and lists Matthew T Logan, President And Chief Executive Offic, as its authorized official.

NPPES Registry Identity

NPI1942528161

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSELF MEDICAL GROUP

Location Address167 GREENWOOD AVE SWare Shoals, SC 29692

Mailing Address167 Greenwood Ave SWare Shoals, SC 29692 · (864) 456-3447 · Fax (864) 725-4979

Phone(864) 456-3447

Fax(864) 725-4979

Organization SubpartNo

Authorized OfficialMatthew T LoganPresident And Chief Executive Offic · (864) 725-4253

Enumeration DateMay 12, 2010

Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration

NPPES CertifiedDecember 14, 2021

✔ NPI 1942528161 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.

167 GREENWOOD AVE S, Ware Shoals, SC 29692

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Other Names 1

Other NameFamily Healthcare Ware Shoals 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) 42D0918491

Family Healthcare Ware Shoals · Ware Shoals, SC

Active · expires Aug 11, 2028

CLIA Number42D0918491

Laboratory TypePhysician Office

Certificate Effective DateAugust 12, 2026

Certificate Expiration DateAugust 11, 2028

Laboratory DirectorRodrine A. Buffaloe

Laboratory Phone(864) 456-3447

Laboratory LocationFamily Healthcare Ware Shoals167 South Greenwood Avenue, Ware Shoals, SC 29692

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.

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 1942528161. It was assigned to this organization in the NPPES registry on May 12, 2010. The provider is also known as Family Healthcare Ware Shoals A Division Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 167 Greenwood Ave S, Ware Shoals, SC 29692. The listed phone number is (864) 456-3447.

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 42D0918491) is associated with this NPI, valid through August 11, 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, 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 December 14, 2021. 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.