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FAMILY HEALTHCARE SAVANNAH LAKES, A DIVISION OF SELF MEDICAL GROUP
NPI 1992370654
Clinic/Center - Rural Health in Mc Cormick, SC

Active since May 25, 2021
207 HOLIDAY RD, MC CORMICK, SC 29835(864) 391-5011(864) 391-5012 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2021, May 25, 2021 (2 updates tracked since 2021).

About Family Healthcare Savannah Lakes, A Division Of Self Medical Group NPPES

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

FAMILY HEALTHCARE SAVANNAH LAKES, A DIVISION OF SELF MEDICAL GROUP (NPI 1992370654) is a healthcare organization registered as a rural health in Mc Cormick, South Carolina and active in the NPI registry since May 2021. The organization lists Matthew T Logan, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1992370654
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSELF MEDICAL GROUP
Location Address207 HOLIDAY RDMc Cormick, SC 29835-3430
Mailing Address207 Holiday RdMc Cormick, SC 29835-3430 · (864) 391-5011 · Fax (864) 391-5012
Phone(864) 391-5011
Fax(864) 391-5012
Organization SubpartNo
Authorized OfficialMatthew T LoganPresident And Ceo · (864) 725-4253
Enumeration DateMay 25, 2021
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1992370654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
207 HOLIDAY RD, Mc Cormick, SC 29835
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Other Names 1

Other NameFamily Healthcare Savannah Lakes, A Division Of Self Medical Group

Other Providers at the Same Location NPPES 4

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

SELF REGIONAL HEALTHCARE
Clinic/Center (Rural Health)
207 HOLIDAY RD
MC CORMICK, SC 29835
McCormick County (864) 391-5011
SELF REGIONAL HEALTHCARE
Family Medicine
207 HOLIDAY RD
MC CORMICK, SC 29835
McCormick County (864) 391-5011
GREGORY T LANG M.D.
Family Medicine
207 HOLIDAY RD
MC CORMICK, SC 29835
McCormick County (864) 391-5011
MRS. ERIN LEDFORD TALBERT MSN, RN, APRN, FNP-C
Nurse Practitioner (Family)
207 HOLIDAY RD
MC CORMICK, SC 29835
McCormick County (864) 391-5011

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 1992370654. It was assigned to this organization in the NPPES registry on May 25, 2021. The provider is also known as Family Healthcare Savannah Lakes, A Division Of Self Medical Group.

Where is Self Medical Group located?

Self Medical Group is located at 207 Holiday Rd, Mc Cormick, SC 29835. The listed phone number is (864) 391-5011.

What is Self Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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.