OrganizationActive
Self Medical Group
NPI 1104137892 · Internal Medicine Physician · Laurens, SC
Self Medical Group is a Internal Medicine Physician organization in Laurens, SC (NPI 1104137892).
Provider details
- NPI number
- 1104137892
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Logan, President and Chief Executive Offic(864) 725-4253
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22580 Highway 76 E
Suite 200
Laurens, SC 29360-8439
Phone: (864) 833-0055
Fax: (864) 833-4008
Street-level locationGet directions
Mailing address
22580 Highway 76 E
Laurens, SC 29360-8439
Other names (DBA / former)
- Other name
- Internal Medical Laurens a Division of Self Medical Group
- Other name
- Internal Medical Laurens a Division of Self Medical Group
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2021-12-14
- Certified
- 2021-12-14
Frequently asked questions
- What is Self Medical Group's NPI number?
- Self Medical Group's National Provider Identifier (NPI) is 1104137892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Self Medical Group?
- Self Medical Group is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Self Medical Group located?
- Self Medical Group's practice location on file with NPPES is 22580 Highway 76 E, Laurens, SC 29360-8439.
- What is Self Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Self Medical Group is (864) 833-0055.
- Who is the authorized official for Self Medical Group?
- The authorized official listed on Self Medical Group's NPPES record is Matthew Logan, President and Chief Executive Offic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Self Medical Group's NPI active?
- Yes — Self Medical Group's NPI (1104137892) is active in the NPPES registry as of the last update on 2021-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.