SELF MEDICAL GROUP
NPI 1972342566
Surgery in Greenwood, SC

NPI Status: Active since May 22, 2024

Contact Information

160 ACADEMY AVE
GREENWOOD, SC
ZIP 29646
Phone: (864) 223-8090

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  • Organization
  • Surgery
  • Accepts Insurance

About SELF MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Self Medical Group, a provider established in Greenwood, South Carolina operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1972342566 assigned on May 2024. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated one year ago. Self Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Matthew Tolbert Logan Md (Ceo)

NPI
1972342566
Provider Name
SELF MEDICAL GROUP
Entity Type
Organization
Location Address
160 ACADEMY AVE GREENWOOD, SC 29646
Location Phone
(864) 223-8090
Mailing Address
104 WELLS AVE GREENWOOD, SC 29646
Mailing Phone
(864) 725-4673
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2024
Last Update Date
05-22-2024
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A surgeon like Self Medical Group treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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:

  • 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
  • BlueEssentials Catastrophic 1 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 39 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • BlueExtend PPO HD Bronze 1 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW TOLBERT LOGAN MD

Authorized Official Title
CEO
Authorized Official Phone
(864) 725-4780

Reviews for SELF MEDICAL GROUP

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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.
1972342566
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142644512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 6 + 4 + 4 + 5 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1972342566 is valid because the calculated check digit 6 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
1639285083 JOHN DAVID KONSEK MD
Individual
Surgery160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1609880715DR. KEVIN WRIGHT CARSON M.D.
Individual
Surgery160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1154437515GREENWOOD SURGICAL ASSOC.
Organization
Surgery160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1801454046 MICHAEL PHELPS
Individual
Nurse Practitioner (Acute Care)160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1104131143 ANAS ABDEL AZIM M.D., M.SC
Individual
Surgery (Vascular Surgery)160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1124488895SELF MEDICAL GROUP
Organization
Surgery (Vascular Surgery)160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1497049811 DEBBIE J HARLING CRNFA
Individual
Registered Nurse (Registered Nurse First Assistant)160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1619083060 JEFFREY E LANFORD MD
Individual
Surgery (Vascular Surgery)160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1720194178 ANGELIA GRAHAM BELL CRNFA
Individual
Registered Nurse (Registered Nurse First Assistant)160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1982648549 SCOTT W GIBSON MD
Individual
Surgery160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1780679241DR. JEFFREY BERNARD THOMAS M.D.
Individual
Surgery160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1437751575 ALEXANDRA NICOLE LEWIS PA-C
Individual
Physician Assistant (Surgical)160 ACADEMY AVE
GREENWOOD, SC 29646
(862) 233-8090
1346929742 CAROLINE DUFFY SOUTER NP
Individual
Nurse Practitioner160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1760974661DR. RYAN JOSEPH BOLT DO
Individual
Surgery160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1841047560SELF MEDICAL GROUP
Organization
Internal Medicine (Gastroenterology)160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1366949703 ALEXANDRE WANG
Individual
Surgery160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1487174512 SANTOSH SWAMINATHAN
Individual
Surgery160 ACADEMY AVE
GREENWOOD, SC 29646
(203) 805-2357
1790213833 JUDSON CHASE WOOLLEN MD
Individual
Surgery (Vascular Surgery)160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1730728031 STEPHEN ANDREW BOUCHER APRN
Individual
Nurse Practitioner160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090
1811336092DR. GUY SMITH DOOLEY IV D.O.
Individual
Internal Medicine (Gastroenterology)160 ACADEMY AVE
GREENWOOD, SC 29646
(864) 223-8090

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972342566, enumerated in the NPI registry as an "organization" on May 22, 2024

The provider is located at 160 Academy Ave Greenwood, Sc 29646 and the phone number is (864) 223-8090

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. 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 May 22, 2024. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.