Matthew Tolbert Logan, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

23221 Issued in SC

Practice address

1325 Spring St
Self Regional Healthcare, Dept. of Emergency Medicine
Greenwood, SC 29646-3860

Phone

(864) 725-4111

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 24

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 27

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Abbeville County Memorial Hospital

  • Critical Access Hospital
  • Abbeville, SC
  • NPI 1063449361

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Abbeville County Memorial Hospital

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

  Corporate Officer

  CMS ownership
• Abbeville County Memorial Hospital

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

  Corporate Officer

  CMS ownership
• Abbeville County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Abbeville, SC
  • NPI 1811096423

  Corporate Officer, Operational/Managerial Control

  CMS ownership
• Self Medical Group

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

  W-2 Managing Employee

  CMS ownership
• Self Regional Healthcare

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, SC
  • NPI 1013867498

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Self Regional Healthcare

  • General Acute Care Hospital
  • Greenwood, SC
  • NPI 1023046612

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Self Regional Healthcare

  • Skilled Nursing Facility
  • Abbeville, SC
  • NPI 1083488183

  Adp of the SNF, Corporate Officer, Direct Ownership Interest, Operational/Managerial Control, Trustee of the SNF

  CMS ownership
• Self Regional Healthcare

  • Rural Health Clinic/Center
  • Ninety Six, SC
  • NPI 1134927767

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Self Regional Healthcare

  • Rural Health Clinic/Center
  • Greenwood, SC
  • NPI 1194517557

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Self Regional Healthcare

  • Rural Health Clinic/Center
  • Greenwood, SC
  • NPI 1215729744

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Self Regional Healthcare

  • Rural Health Clinic/Center
  • Greenwood, SC
  • NPI 1376342626

  Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Self Medical Group

  • Surgery Physician
  • Greenwood, SC
  • NPI 1982836847

  SC

  Medicare reassignment NPD Authorized official
• Self Medical Group

  • Urgent Care Clinic/Center
  • Laurens, SC
  • NPI 1528495025
  NPD Authorized official
• Self Medical Group

  • Diagnostic Radiology Physician
  • Greenwood, SC
  • NPI 1659839694
  NPD Authorized official
• Abbeville County Memorial Hospital

  • Adult Medicine Physician
  • Due West, SC
  • NPI 1689048464
  NPD (past) Authorized official
• Self Regional Healthcare

  • Diabetes Educator Registered Nurse
  • Greenwood, SC
  • NPI 1417582503
  NPD (past) Authorized official
• Self Regional Healthcare Partners

  • Community/Retail Pharmacy
  • Edgefield, SC
  • NPI 1073486494
  NPD (past) Authorized official
• The Surgery Center at Self Memorial Hospital, LLC

  • Ambulatory Surgical Clinic/Center
  • Greenwood, SC
  • NPI 1427044452
  NPD
• Palmetto Infusion Services LLC

  • Infusion Therapy Clinic/Center
  • West Columbia, SC
  • NPI 1265462659
  NPD (past)
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Sumter, SC
  • NPI 1326043548
  NPD (past)
• Winyah Home Health Care, LLC

  • Home Health Agency
  • West Columbia, SC
  • NPI 1003227331
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1902868078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 TRYON CT",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296497200",
            "telephone_number": "864-229-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "address_2": "SELF REGIONAL HEALTHCARE, DEPT. OF EMERGENCY MEDICINE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-725-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MATTHEW",
        "middle_name": "TOLBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "23221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlogan189592@selfregional.direct-ci.net",
            "affiliation": "N",
            "address_1": "1325 Spring St",
            "address_2": "Self Regional Healthcare, Dept. of Emergency Medicine",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296463860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Living Well Therapeutic Massage
• Jennifer Lloyd, M.A., NCC, LPC
• Amy P Loftus, LPC
• Adrienne Nikisha Logan, LISW-CP
• Joseph Willis Logan Sr., MD
• Margaret A Lohf, MD
• Joshua Lollis
• Bettrina Lomax
• Casey Long, PA-C
• Angela M. L. Lopez de Leon, MD

• All providers in Greenwood, SC
• Emergency Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.