SELF MEDICAL GROUP – NPI #1942528161
Family Medicine

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.

SELF MEDICAL GROUP is a provider located in WARE SHOALS, SC. NPPES has assigned the NPI number 1942528161 to SELF MEDICAL GROUP on May 12, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SELF MEDICAL GROUP is also known by the name FAMILY HEALTHCARE WARE SHOALS A DIVISION OF SELF MEDICAL GROUP. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Dec 14, 2021. 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 MEDICAL GROUP below.

NPI Profile for
SELF MEDICAL GROUP

NPI Number
1942528161
Enumeration Date

(more than 16 years 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 MEDICAL GROUP
Other Name: FAMILY HEALTHCARE WARE SHOALS A DIVISION OF SELF MEDICAL GROUP
Primary location
167 GREENWOOD AVE S
WARE SHOALS, SC 29692
Phone: (864) 456-3447 Fax: (864) 725-4979
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW LOGAN
PRESIDENT AND CHIEF EXECUTIVE OFFIC
Phone: (864) 725-4253
Updated
Certification Date
Dec 14, 2021

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
207Q00000X
- Family Medicine (Primary)

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.