Self Medical Group
NPI 1588969448ActiveOrganization· Internal Medicine· Greenwood, SC
Internal Medicine in Greenwood, South Carolina, registered in NPPES in January 2011, part of Self Medical Group. The authorized official on file is Matthew T. Logan, MD, President And Chief Executive Offic.
Overview
| NPI | 1588969448 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Self Medical Group |
| NPI issued | Jan 24, 2011 |
| Last updated in NPPES | Dec 14, 2021 |
| Certified by provider | Dec 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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