Self Medical Group
NPI 1124488895ActiveOrganization· Surgery, Vascular Surgery· Greenwood, SC
Surgery, Vascular Surgery in Greenwood, South Carolina, registered in NPPES in February 2016. The authorized official on file is Matthew T. Logan, MD, President And Cfo.
Overview
| NPI | 1124488895 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 24, 2016 |
| Last updated in NPPES | Dec 14, 2021 |
| Certified by provider | Dec 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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