Self Medical Group
NPI 1205253820ActiveOrganization· Psychiatry & Neurology, Psychiatry· Greenwood, SC
Psychiatry & Neurology, Psychiatry in Greenwood, South Carolina, registered in NPPES in March 2014. The authorized official on file is Matthew T. Logan, MD, President And Ceo.
Overview
| NPI | 1205253820 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2014 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Family Medicine, Addiction Medicine | 207QA0401X | — | — |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | — | — |
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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