Self Regional Healthcare
Organization Active NPI Family Medicine Physician · Saluda, SC
NPI 1689472292 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1689472292
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SELF REGIONAL HEALTHCARE
- Practice address
- 102 R L Sawyer MD Dr
Saluda, SC 29138-9199 - Phone
- (864) 445-2173
- Fax
- (864) 445-9158
- NPI assigned
- Mar 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Matthew Tolbert Logan
- Title
- President & Ceo
- Phone
- (864) 725-4780
Other NPIs on the same Medicare enrollment 27
Practitioners 19
-
Christa Armfield Anderson, DNP, FNP-C
-
Alan Baker, APRN FNP-C
-
Alexander Barnett, DPM
-
Etoy N Flemmings, APRN
-
Jennifer Leigh Fowler, APRN
-
Jason E. Gosnell, DO
-
Dipesh Maan, M.D.
-
Davis Renee Migdalas, FNP
-
Steven Jacob Pietrusza, B.S.H.S.
-
Leisa Alexander Reynolds, APRN NP-C
-
Brittany Roman, FNP
-
Joleen Mary Shelton, NP-C
-
Amy M Sprague, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051214000767 | SC | Part B Supplier - Clinic/Group Practice | 4082527742 |
Receives reassigned benefits from 234 practitioners 27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenwood, SC; Clinton, SC; Ware Shoals, SC; Saluda, SC; Ninety Six, SC; Newberry, SC; MC Cormick, SC; Laurens, SC… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Sports Medicine (Family Medicine) Physician |
207QS0010X | |||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Nephrology Physician |
207RN0300X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Surgery Physician |
208600000X | |||
| Urology Physician |
208800000X | |||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
102 R L Sawyer MD Dr
Saluda, SC 29138-9199
Mailing address
104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673
Other names
- Self Medical Center Saluda
Other providers in Saluda, SC
- Self Medical Group
- Self Medical Group
- Self Medical Group
- Self Medical Group
- Self Regional Healthcare
- Holly Riley Shealy
- Julie Porth Smith
- South Carolina CVS Pharmacy LLC
- South Carolina Heart Center PA
- State of South Carlina
All providers in Saluda, 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 Jun 10, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.