SELF REGIONAL HEALTHCARE
NPI 1619775244
Family Medicine in Ninety Six, SC
NPI Status: Active since March 07, 2025
Contact Information
103 LITTLE MOUNTAIN RD
NINETY SIX, SC
ZIP 29666
Phone: (864) 543-3515
- Organization
- Family Medicine
About SELF REGIONAL HEALTHCARE
This page provides the complete NPI Profile along with additional information for Self Regional Healthcare, a primary care provider established in Ninety Six, South Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1619775244 assigned on March 2025. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Matthew Tolbert Logan (President & Ceo)
- NPI
- 1619775244
- Provider Name
- SELF REGIONAL HEALTHCARE
- Entity Type
- Organization
- Location Address
- 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666
- Location Phone
- (864) 543-3515
- Mailing Address
- 104 WELLS AVE GREENWOOD, SC 29646
- Mailing Phone
- (864) 725-4673
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2025
- Last Update Date
- 03-07-2025
- Code Navigator
A primary care provider (PCP) like Self Regional Healthcare sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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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 | 6 | 1 | 9 | 7 | 7 | 5 | 2 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 14 | 7 | 10 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 1 + 4 + 7 + 1 + 0 + 2 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1619775244 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922326511 | MRS. JENNIFER SMITH LINDLER LPC Individual | Counselor (Professional) | 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 (864) 223-5111 |
| 1770013336 | SWETHA NARALA MD Individual | Internal Medicine | 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 (864) 543-3515 |
| 1285391870 | MARY TURNER APRN-FNP Individual | Family Medicine | 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 (864) 543-3515 |
| 1609262807 | SELF MEDICAL GROUP Organization | Family Medicine | 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 (864) 543-3515 |
| 1629062955 | DR. ROBERT MICHAEL BRYANT MD Individual | Family Medicine | 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 (864) 543-3515 |
| 1669466074 | PATRICIA M VAUGHN-GOODMAN APRN Individual | Nurse Practitioner (Family) | 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 (864) 543-3515 |
| 1154708543 | REID D. CASTELLONE MD Individual | Family Medicine | 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 (864) 543-3515 |
| 1639551799 | CHELSEA R. CASTELLONE PA-C Individual | Physician Assistant (Medical) | 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 (864) 543-3515 |
| 1134927767 | SELF REGIONAL HEALTHCARE Organization | Clinic/Center (Rural Health) | 103 LITTLE MOUNTAIN RD NINETY SIX, SC 29666 (864) 543-3515 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619775244, enumerated in the NPI registry as an "organization" on March 07, 2025
The provider is located at 103 Little Mountain Rd Ninety Six, Sc 29666 and the phone number is (864) 543-3515
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
This NPI record was last updated on March 07, 2025. 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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