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SELF MEDICAL GROUP
NPI 1982836847
Surgery in Greenwood, SC

Active since August 11, 2009
1325 SPRING STREET, GREENWOOD, SC 29646(864) 725-5010(864) 725-4389 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Self Medical Group NPPES

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

SELF MEDICAL GROUP (NPI 1982836847) is a healthcare organization registered as a surgery in Greenwood, South Carolina and active in the NPI registry since August 2009. The organization lists Matthew T Logan, President And Chief Executive Offic, as its authorized official.

NPPES Registry Identity

NPI1982836847
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSELF MEDICAL GROUP
Location Address1325 SPRING STREETGreenwood, SC 29646-3860
Mailing Address1325 Spring StreetGreenwood, SC 29646-3860 · (864) 725-5010 · Fax (864) 725-4389
Phone(864) 725-5010
Fax(864) 725-4389
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Chief Executive Offic · (864) 725-4253
Enumeration DateAugust 11, 2009
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
✔ NPI 1982836847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1325 SPRING STREET, Greenwood, SC 29646
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

560

Medicare enrollment records show 560 clinicians reassign Medicare billing to Self Medical Group, which bills Medicare for the services they deliver. Of these, 116 practice at this address and 302 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 43

Family Practice95
Nurse Practitioner87
Emergency Medicine59
Certified Registered Nurse Anesthetist (CRNA)36
Internal Medicine34
Anesthesiology24
Diagnostic Radiology22
Gastroenterology17
35 other specialties186

Nearest to this location (20)

See all 560
Tinu Abraham, MD
Internal Medicine
NPI 1194354399
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts MedicareSame address
Matthew Adams, MD
Family Practice
NPI 1467136135
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts MedicareSame address
Kelly Addy, NP
Nurse Practitioner
NPI 1790215291
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOSSame address
Sunil Agarwal, MD
Interventional Pain Management
NPI 1780113506
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts MedicareSame address
Solomon Amemasor, DO
Diagnostic Radiology
NPI 1285128892
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4671
✔ PECOS✔ Accepts MedicareSame address
Venkata Amilineni, MD
Diagnostic Radiology
NPI 1043291933
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOSSame address
Mary Anderson, RN, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1053947192
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ Accepts MedicareSame address
Kelly Ardis, AGPCNP-BC
Nurse Practitioner
NPI 1417304734
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4095
✔ PECOS✔ Accepts MedicareSame address
Mallikarjuna Bagewadi Ellur, M.D.,
Psychiatry
NPI 1790125615
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4398
✔ PECOS✔ Accepts MedicareSame address
Gus Bazan, MD
Anesthesiology
NPI 1639159791
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts MedicareSame address
Austin Brannen, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265134761
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ Accepts MedicareSame address
James Cook, MD
Emergency Medicine
NPI 1912000860
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4780
✔ PECOSSame address
Matthew Cousins
Radiation Oncology
NPI 1699209429
1325 SPRING ST
Greenwood, SC 29646
(864) 725-7100
✔ PECOS✔ Accepts MedicareSame address
Michael Cox, DO
Emergency Medicine
NPI 1205576105
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4671
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Dean, MD
Anesthesiology
NPI 1417927302
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOSSame address
Houston Earnest, MD
Family Practice
NPI 1457192460
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4111
✔ PECOS✔ Accepts MedicareSame address
Ihinosen Edgal, MD
Pediatric Medicine
NPI 1528696051
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4449
✔ PECOS✔ Accepts MedicareSame address
Joanna Metzner-Sadurski, MD
Hematology/Oncology
NPI 1801807011
1325 SPRING ST
Greenwood, SC 29646
(864) 725-7100
✔ PECOS✔ Accepts MedicareSame address
Ahmad Khalil Rahal, MD
Medical Oncology
NPI 1265872832
1325 SPRING ST
Greenwood, SC 29646
(864) 725-7100
✔ PECOS✔ Accepts MedicareSame address
Moises Salcie Tejeda, MD
Hospitalist
NPI 1386084267
1325 SPRING ST
Greenwood, SC 29646
(864) 725-4272
✔ PECOS✔ Accepts MedicareSame address
See all 560 clinicians

Source: 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 Medical Group's NPI number?

The NPI number for Self Medical Group is 1982836847. It was assigned to this organization in the NPPES registry on August 11, 2009.

Where is Self Medical Group located?

Self Medical Group is located at 1325 Spring Street, Greenwood, SC 29646. The listed phone number is (864) 725-5010.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Self Medical Group enrolled in Medicare?

Yes. Self Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Self Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 560 clinicians in 43 Medicare specialties reassign their Medicare billing to Self Medical Group. 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 (95), Nurse Practitioner (87) and Emergency Medicine (59). Of these, 116 practice at this address and 302 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.