Self Medical Group
NPI 1104572411 · Nurse Practitioner · Greenwood, SC
Self Medical Group is a Nurse Practitioner organization in Greenwood, SC (NPI 1104572411).
Provider details
- NPI number
- 1104572411
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Matthew Logan, President and Ceo(864) 725-4253
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Other name
- Virtual Services
- Other name
- Virtual Services
Registry dates
- Enumerated
- 2022-02-24
- Last updated
- 2022-10-18
- Certified
- 2022-10-18
Frequently asked questions
- What is Self Medical Group's NPI number?
- Self Medical Group's National Provider Identifier (NPI) is 1104572411, 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 Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Self Medical Group located?
- Self Medical Group's practice location on file with NPPES is 410 Epting Ave, Greenwood, SC 29646-4040.
- What is Self Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Self Medical Group is (864) 725-5326.
- 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 Ceo. 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 (1104572411) is active in the NPPES registry as of the last update on 2022-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.