Abbeville County Memorial Hospital

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

ABBEVILLE COUNTY MEMORIAL HOSPITAL

Practice address

6 College St
Due West, SC 29639-9554

Phone

(864) 379-2345

Fax

(864) 379-3228

NPI assigned

Nov 17, 2015

Organization subpart

Yes

Parent organization

ABBEVILLE COUNTY MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Matthew Tolbert LoganNPI 1902868078

Title

President & Ceo

Phone

(864) 725-4780

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Due West Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• Abbeville County Memorial Hospital

  • Critical Access Hospital
  • Abbeville, SC
  • NPI 1063449361

  O20031117000214

  Same enrollment
• Abbeville County Memorial Hospital

  • Family Medicine Physician
  • Abbeville, SC
  • NPI 1285618132

  O20031117000214

  Same enrollment
• Abbeville County Memorial Hospital

  • Rural Health Clinic/Center
  • Due West, SC
  • NPI 1467825166

  O20031117000214

  Same enrollment
• Abbeville County Memorial Hospital

  • Rural Health Clinic/Center
  • Abbeville, SC
  • NPI 1629371661

  O20031117000214

  Same enrollment

Tax ID family

J E Todd M Gonzalez MD2 organizations share this tax ID, including this one

Part of

J E Todd M Gonzalez MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Abbeville County Memorial Hospital

  • Rural Health Clinic/Center
  • Due West, SC
  • NPI 1467825166
  NPD tax ID

Locations

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Tolbert Logan, M.D.

  • Emergency Medicine Physician
  • Greenwood, SC
  • NPI 1902868078
  NPD (past) Authorized official
• Steven D. Adams, M.D.

  • Family Medicine Physician
  • Abbeville, SC
  • NPI 1053349357

  Family Medicine

  NPD
• Solomon Amemasor, DO

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1285128892
  NPD
• Venkata Amilineni, MD

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1043291933
  NPD
• Alanna E Angel, MD PHD

  • Family Medicine Physician
  • Due West, SC
  • NPI 1124005541

  Family Medicine

  NPD
• Alan Baker, APRN FNP-C

  • Family Nurse Practitioner
  • Greenwood, SC
  • NPI 1811340664
  NPD
• Gustavo Z Bazan, MD

  • Anesthesiology Physician
  • Greenwood, SC
  • NPI 1639159791
  NPD
• Theresa S Bishop, M.D.

  • Psychiatry Physician
  • Greenwood, SC
  • NPI 1659304483
  NPD
• Rebecca G Botts, P.A.C.

  • Physician Assistant
  • Abbeville, SC
  • NPI 1225305345
  NPD
• Courtney Ashley Burton, F.N.P

  • Family Nurse Practitioner
  • Due West, SC
  • NPI 1497015184
  NPD
• Benjamin William Calton, DO

  • Emergency Medicine Physician
  • Spartanburg, SC
  • NPI 1679060743
  NPD
• Bryan Hodges Casey, D.O.

  • Family Medicine Physician
  • Abbeville, SC
  • NPI 1750303806

  Family Medicine

  NPD

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1689048464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75833",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606755833",
            "telephone_number": "864-366-5011",
            "fax_number": "864-366-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLLEGE ST",
            "city": "DUE WEST",
            "state": "SC",
            "postal_code": "296399554",
            "telephone_number": "864-379-2345",
            "fax_number": "864-379-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABBEVILLE COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2015-11-17",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "TOLBERT",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "864-725-4780"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QD0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Diabetology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "42D2178584",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7141",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Due West Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Due West Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbeville County Memorial Hospital
• Connie D Abbott, ARNP BC
• Alanna E Angel, MD PHD
• Jeanne Bell
• Robin Garrett Brown, LPN
• Courtney Ashley Burton, F.N.P

• All providers in Due West, SC
• Adult Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.