Matthew Adams, MD
Individual provider Active NPI Family Medicine Physician · Greenwood, SC
NPI 1467136135 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1467136135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 89959 (SC)
- Practice address
- 1325 Spring St
Greenwood, SC 29646-3860 - Phone
- (864) 725-4111
- Fax
- (864) 725-7498
- NPI assigned
- Jun 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Self Medical Group
Self Regional Healthcare Partners
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
300 Ridge Medical Plaza Rd
Edgefield, SC 29824-4525
Phone (803) 637-3174
Hospital & facility affiliations
- Self Regional Healthcare
- Edgefield County Healthcare an Affiliate of Self R
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241223000260 | SC | Practitioner - Family Practice | 8325575806 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89959 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Regional Healthcare | Family Medicine | Current |
Accepting new patients |
| Self Regional Healthcare Partners | Current |
Accepting new patients | |
| Self Medical Group | Current |
Accepting new patients | |
| Self Regional Healthcare Partners | Family Medicine | Current |
Accepting new patients |
| Self Medical Group | Current |
Accepting new patients | |
| Self Regional Healthcare | Current |
Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Regional Healthcare | Family Medicine | Current | Accepting new patients |
| Self Regional Healthcare | Family Medicine | Past | Accepting new patients |
| Self Medical Group | Past |
Accepting new patients |
Locations
75 Remittance Dr
Dept 6793
Chicago, IL 60675
75 Remittance Dr
Dept 6764
Chicago, IL 60675
300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174
104 Wells Ave
Greenwood, SC 29646
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
102 Rockcreek Blvd
Greenwood, SC 29649
Phone (864) 725-5020
155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865
22580 Highway 76 E
Ste 100
Laurens, SC 29360
Phone 8648335986 ext. 54673
22580 Highway 76 E
Ste 300
Laurens, SC 29360
Phone (864) 725-4183
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- madams540000@selfregional.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 89959 | SC | Yes |
Addresses
Primary practice location
1325 Spring St
Greenwood, SC 29646-3860
Mailing address
155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865
Other practice location 1
155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865
Other practice location 2
22580 Highway 76 E Ste 300
Laurens, SC 29360-8460
Phone (864) 939-1070
Other practice location 3
102 Rockcreek Blvd
Greenwood, SC 29649-8915
Phone (864) 725-5020
Other providers in Greenwood, SC
- Active SC One, Inc.
- Active SC Pca, Inc.
- Chandler Balentine Adams
- Francis Wates Adams Jr.
- Lauren Adams
- Kelly Addy
- Mariah Montana Aden
- Advanced Biomechanical Solutions
- Affordable Dentures - Greenwood, P. C.
- Affordable Dentures & Implants - Greenwood III, P.C.
All providers in Greenwood, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.