NPIMap

Individual provider Active NPI

Todd A Gallman, MD

  • Family Medicine Physician
  • Greenwood, SC
National Provider Identifier
1962498998
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17472 Issued in SC
Practice address
105 Vinecrest CT # 600
Greenwood, SC 29646-8031
Phone
(864) 227-2900
Fax
(864) 227-6487
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17472 SC Primary

Addresses

Primary practice location

105 Vinecrest CT # 600
Greenwood, SC 29646-8031

Mailing address

105 Vinecrest CT # 600
Greenwood, SC 29646-8031
Phone (864) 227-2900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgallman127202@selfregional.direct-ci.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110426000601 SC Practitioner - Family Practice 2163607706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians

Practice addresses (Care Compare)

105 Vinecrest CT
Suite 600
Greenwood, SC 29646-8031
Phone (864) 227-2900

Hospital & facility affiliations

  • Home Health Services of Self Regional Healthcare Home health agency, Greenwood, SC, CCN 427018
  • Amedisys Home Health of Clinton Home health agency, Clinton, SC, CCN 427116
  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17472SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare CurrentSince Dec 1, 2025 Accepting new patients
Self Medical Group Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Self Medical Group Current Accepting new patients
Self Regional Healthcare Family Medicine Current Accepting new patients
Self Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Self Regional Healthcare Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Self Regional Healthcare Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 6875
Chicago, IL 60675

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

105 Vinecrest Ct
#1200
Greenwood, SC 29646
Phone (864) 227-5240

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

105 Vinecrest Ct
#600
Greenwood, SC 29646
Phone (864) 227-2900

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

103 Little Mountain Rd
Ninety Six, SC 29666
Phone (864) 223-5111

Interoperability endpoints

  • Direct secure messaging: tgallman127202@selfregional.direct-ci.net

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1962498998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VINECREST CT # 600",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468031",
            "telephone_number": "864-227-2900",
            "fax_number": "864-227-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINECREST CT # 600",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296468031",
            "telephone_number": "864-227-2900",
            "fax_number": "864-227-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLMAN",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgallman127202@selfregional.direct-ci.net",
            "affiliation": "N",
            "address_1": "105 Vinecrest Ct # 600",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296468031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.