Self Medical Group
NPI 1124488895 · Vascular Surgery Physician · Greenwood, SC
Self Medical Group is a Vascular Surgery Physician organization in Greenwood, SC (NPI 1124488895).
Provider details
- NPI number
- 1124488895
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Logan, President and Cfo(864) 725-4253
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- Advanced Vascular Associates a Division of Self Medical Group
- Other name
- Advanced Vascular Associates a Division of Self Medical Group
Registry dates
- Enumerated
- 2016-02-24
- 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 1124488895, 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 Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Self Medical Group located?
- Self Medical Group's practice location on file with NPPES is 160 Academy Ave, Greenwood, SC 29646-3808.
- What is Self Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Self Medical Group is (864) 223-8090.
- 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 Cfo. 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 (1124488895) 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.