Self Medical Group
NPI 1871809855ActiveOrganization· Urology· Greenwood, SC
Urology in Greenwood, South Carolina, registered in NPPES in August 2010. The authorized official on file is Matthew T. Logan, MD, President And Ceo.
Overview
| NPI | 1871809855 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2010 |
| Last updated in NPPES | Dec 14, 2021 |
| Certified by provider | Dec 14, 2021 |
| Reactivated | Jun 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
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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