PROFESSIONAL SERVICES OF SELF MEDICAL GROUP
NPI 1376041798
Internal Medicine - Cardiovascular Disease in Greenwood, SC
NPI Status: Active since January 31, 2018
Contact Information
1325 SPRING ST
GREENWOOD, SC
ZIP 29646
Phone: (864) 725-4111
Fax: (864) 725-7498
- Organization
- Internal Medicine
- Cardiovascular Disease
- Accepts Insurance
About PROFESSIONAL SERVICES OF SELF MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Professional Services Of Self Medical Group, an internist established in Greenwood, South Carolina operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1376041798 assigned on January 2018. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Professional Services Of Self Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Professional Services Of Self Medical Group. The authorized official of this NPI record is Dr. Matthew T Logan Md (President And Ceo)
- NPI
- 1376041798
- Provider Legal Name
- SELF MEDICAL GROUP
- Other Organization Name
- PROFESSIONAL SERVICES OF SELF MEDICAL GROUP
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1325 SPRING ST GREENWOOD, SC 29646
- Location Phone
- (864) 725-4111
- Location Fax
- (864) 725-7498
- Mailing Address
- 1325 SPRING ST GREENWOOD, SC 29646
- Mailing Phone
- (864) 725-4111
- Mailing Fax
- (864) 725-7498
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-31-2018
- Last Update Date
- 12-14-2021
- Code Navigator
An internist like Professional Services Of Self Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Deluxe - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Deluxe - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 8 - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 7 | 6 | 0 | 4 | 1 | 7 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 0 | 4 | 2 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 0 + 4 + 2 + 7 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1376041798 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518944107 | CAROLINA PATHOLOGY ASSOCIATES LLP Organization | Pathology (Anatomic Pathology) | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4822 |
| 1285614396 | DR. DEREK SCOTT HARWELL MD Individual | Anesthesiology | 1325 SPRING ST ANESTHESIA DEPT GREENWOOD, SC 29646 (864) 227-4111 |
| 1336129204 | KAREN FREE CRNA Individual | Nurse Anesthetist, Certified Registered | 1325 SPRING ST ANESTHESIA DEPT GREENWOOD, SC 29646 (864) 227-4111 |
| 1386624732 | DR. WILLIAM R WARNER MD Individual | Anesthesiology | 1325 SPRING ST ANESTHESIA DEPT GREENWOOD, SC 29646 (864) 227-4111 |
| 1275513533 | TIMOTHY A COOK CRNA Individual | Nurse Anesthetist, Certified Registered | 1325 SPRING ST ANESTHESIA DEPT GREENWOOD, SC 29646 (864) 227-4111 |
| 1295793537 | DR. MICHELLE MARIA CURRY M.D. Individual | Emergency Medicine | 1325 SPRING ST LAKELANDS EMERGENCY PHYSICIANS, PA GREENWOOD, SC 29646 (864) 725-4799 |
| 1669421715 | INGRID L SPEER NP Individual | Nurse Practitioner (Family) | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4799 |
| 1093769002 | DR. DONALD JEROME MADDOX M.D. Individual | Emergency Medicine | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4799 |
| 1780602771 | DR. BIBB RANDALL CAIN MD Individual | Emergency Medicine | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4799 |
| 1396832457 | UPPER SAVANNAH RADIOLOGICAL ASSOCIATES PA Organization | Radiology (Diagnostic Radiology) | 1325 SPRING ST GREENWOOD, SC 29646 (864) 889-9609 |
| 1902983364 | LONA KILE PA-C Individual | Physician Assistant (Medical) | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4799 |
| 1285771170 | DR. JENNIFER GIDDENS ELROD PHARM.D. Individual | Pharmacist | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4170 |
| 1316193279 | JOHN W MCALHANY JR. M.D. Individual | Radiology (Diagnostic Radiology) | 1325 SPRING ST GREENWOOD, SC 29646 (864) 889-9609 |
| 1548592199 | DR. KYLE RICHARD CIEPLY PHD Individual | Psychologist | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4379 |
| 1639475213 | MORGAN SLATON BRYANT CRNA Individual | Nurse Anesthetist, Certified Registered | 1325 SPRING ST GREENWOOD, SC 29646 (864) 227-8242 |
| 1477859767 | MS. THERESE LUKASZESKI MOORE RD, LD, CDE Individual | Dietitian, Registered | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-5753 |
| 1922398965 | PATRICE DIANE DOWNS Individual | Pharmacist | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4171 |
| 1376573576 | DR. SURESH CHANDRA SONI MD Individual | Psychiatry & Neurology (Neurology) | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4480 |
| 1851724546 | MICHELLE C STEVENSON RPH Individual | Pharmacist | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4169 |
| 1487089272 | DR. JOHN WILLIAM STOREY PHARM.D Individual | Pharmacist | 1325 SPRING ST GREENWOOD, SC 29646 (864) 725-4169 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376041798, enumerated in the NPI registry as an "organization" on January 31, 2018
The provider is located at 1325 Spring St Greenwood, Sc 29646 and the phone number is (864) 725-4111
This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 31, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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