SELF MEDICAL GROUP – NPI #1588969448
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

SELF MEDICAL GROUP is a provider located in GREENWOOD, SC. NPPES has assigned the NPI number 1588969448 to SELF MEDICAL GROUP on January 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. SELF MEDICAL GROUP is also known by the name INTERNAL MEDICINE OF THE PIEDMONT, A DIVISION OF SELF MEDICAL GROUP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal 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
1588969448
Enumeration Date

(more than 15 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: INTERNAL MEDICINE OF THE PIEDMONT, A DIVISION OF SELF MEDICAL GROUP
Primary location
104 LINER DRIVE
GREENWOOD, SC 29646
Phone: (864) 227-1115 Fax: (864) 227-2046
Mailing address
Same as primary location
Organization Subpart
Yes - SELF MEDICAL GROUP is subpart of another organization.
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
207R00000X
- Internal Medicine (Primary)
363L00000X
- Nurse Practitioner

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.