Self Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SELF MEDICAL GROUP

Practice address

3410 Cokesbury Rd
Hodges, SC 29653-9181

Phone

(864) 227-2900

NPI assigned

Apr 14, 2015

Organization subpart

No

Name

Dr. Matthew T Logan, MD

Title

President and Ceo

Phone

(864) 725-4253

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

• Katie Newman Chambers, MD

  • Psychiatry Physician
  • Rock Hill, SC
  • NPI 1770921751
  NPD
• Richard M Christian Jr., MD

  • Orthopaedic Surgery Physician
  • Greenwood, SC
  • NPI 1093810723
  NPD
• Justin Philip Hollm, M.D.

  • Emergency Medicine Physician
  • Columbia, SC
  • NPI 1053761452
  NPD
• Kelsey Taylor Murphy, PA-C

  • Medical Physician Assistant
  • West Columbia, SC
  • NPI 1689212599
  NPD
• Merri Maddox Paden, M.D.

  • Obstetrics & Gynecology Physician
  • Georgetown, SC
  • NPI 1538455829
  NPD
• Elena K. Sutton, M.D.

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1518992254

  Family Medicine

  NPD
• Denise Walker Thompson, NP

  • Acute Care Nurse Practitioner
  • Greenwood, SC
  • NPI 1316991185
  NPD
• Linghua Wang, MD

  • Internal Medicine Physician
  • Burlington, MA
  • NPI 1043272131
  NPD

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

• Family Healthcare North Greenwood, A Division of Self Medical Group Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 14, 2021.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1811383003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 COKESBURY RD",
            "city": "HODGES",
            "state": "SC",
            "postal_code": "296539181",
            "telephone_number": "864-227-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 COKESBURY RD",
            "city": "HODGES",
            "state": "SC",
            "postal_code": "296539181",
            "telephone_number": "864-227-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Healthcare North Greenwood, A Division of Self Medical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Family Healthcare North Greenwood, A Division of Self Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Piedmont Family Dentistry, PA
• Promise Kept LLC
• Eustace David Riley IV, MD
• Erin New Saylors, FNP
• Terrence Scott, COTA/L
• Self Medical Group
• Self Regional Healthcare
• Self Regional Healthcare
• William Eric Stanley, PA-C
• Robin C Stone, MD

• All providers in Hodges, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.