Self Medical Group

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SELF MEDICAL GROUP

Practice address

1325 Spring St
Greenwood, SC 29646-3860

Phone

(864) 725-4111

Fax

(864) 725-7498

NPI assigned

Mar 8, 2019

Last updated

Jul 31, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew T Logan, MDNPI 1902868078

Title

President and Ceo

Phone

(864) 725-4253

Specialties & licenses 2

Addresses

Other names 1

• Radiology Services of Self Medical Group Other name

Medicare fee-for-service enrollment

Enrolled in SC, FL, NY3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Self Medical Group

  • Rural Health Clinic/Center
  • Saluda, SC
  • NPI 1184219214

  6002953916

  Same PAC ID
• Self Medical Group

  • Neurological Surgery Physician
  • Greenwood, SC
  • NPI 1902277270

  6002953916

  Same PAC ID
• Self Medical Group

  • Surgery Physician
  • Greenwood, SC
  • NPI 1982836847

  6002953916

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Self Medical Group

  • Cardiovascular Disease Physician
  • Greenwood, SC
  • NPI 1215246350

  O20190802000433

  Same enrollment
• Self Medical Group

  • Cardiovascular Disease Physician
  • Greenwood, SC
  • NPI 1376041798

  O20190802000433

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Self Regional Healthcare

  dba SRH - Outpatient Services

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1407887003

  Member Of

  NPD member

Locations

Practitioners 625

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandre R Abreu, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1497710099
  Medicare reassignment NPD
• David A Archer Jr., MD

  • Vascular & Interventional Radiology Physician
  • Springfield, MA
  • NPI 1841785854

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• Bassam J Daghman, M.D.

  • Diagnostic Radiology Physician
  • Bay City, MI
  • NPI 1790798304

  NY

  Medicare reassignment NPD
• Puja Shailesh Sitwala

  • Cardiovascular Disease Physician
  • Orlando, FL
  • NPI 1225479199
  Medicare reassignment NPD
• Matthew Tolbert Logan, M.D.

  • Emergency Medicine Physician
  • Greenwood, SC
  • NPI 1902868078
  NPD Authorized official
• Anas Abdel Azim, M.D., M.SC

  • Vascular Surgery Physician
  • Greenwood, SC
  • NPI 1104131143
  NPD
• Chandler Balentine Adams, PA-C

  • Physician Assistant
  • Greenwood, SC
  • NPI 1205465820
  NPD
• Matthew Adams, MD

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1467136135
  NPD
• Steven D. Adams, M.D.

  • Family Medicine Physician
  • Abbeville, SC
  • NPI 1053349357
  NPD
• Claire Stephanie Adcock, MD

  • Diagnostic Radiology Physician
  • Charleston, SC
  • NPI 1194352021
  NPD
• Douglas M Addy, MD

  • Obstetrics & Gynecology Physician
  • Columbia, SC
  • NPI 1942270590
  NPD
• Kelly Addy, NP

  • Family Nurse Practitioner
  • Greenwood, SC
  • NPI 1790215291
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1659839694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4111",
            "fax_number": "864-725-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4111",
            "fax_number": "864-725-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "864-725-4253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology Services of Self Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Self Medical Group
• Self Medical Group
• Self Medical Group
• Self Medical Group
• Self Medical Group
• Self Medical Group
• Self Medical Group
• Self Medical Group
• Self Medical Group
• Self Medical Group

• Diagnostic Radiology Physician in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.