SELF REGIONAL HEALTHCARE – NPI #1720938103
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Health Care Provider Taxonomy Code for Anesthesiology

SELF REGIONAL HEALTHCARE is an anesthesiologist located in CLINTON, SC. NPPES has assigned the NPI number 1720938103 to SELF REGIONAL HEALTHCARE on February 03, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SELF REGIONAL HEALTHCARE below.

NPI Profile for
SELF REGIONAL HEALTHCARE

NPI Number
1720938103
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SELF REGIONAL HEALTHCARE
Primary location
23013 HIGHWAY 76 E STE C
CLINTON, SC 29325-7530
Phone: (864) 725-4095 Fax:
Mailing address
1325 SPRING ST
GREENWOOD, SC 29646-3875
Phone: (864) 725-4673 Fax: (864) 725-7424
Organization Subpart
No
Authorized Official
MATTHEW LOGAN
PRESIDENT & CEO
Phone: (864) 725-4780
Updated
Certification Date
Feb 03, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
208100000X
- Physical Medicine & Rehabilitation

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.