OrganizationActive
Self Medical Group
NPI 1629382056 · Family Medicine Physician · Mccormick, SC
Self Medical Group is a Family Medicine Physician organization in Mccormick, SC (NPI 1629382056).
Provider details
- NPI number
- 1629382056
- Entity type
- Organization
- Primary specialty
- Family 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(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
207 Holiday Road
Mccormick, SC 29835-3430
Phone: (864) 391-5011
Fax: (864) 391-5012
Street-level locationGet directions
Mailing address
207 Holiday Road
Mccormick, SC 29835-3430
Other names (DBA / former)
- Other name
- Family Healthcare Savannah Lakes, a Division of Self Medical Group
- Other name
- Family Healthcare Savannah Lakes, a Division of Self Medical Group
Registry dates
- Enumerated
- 2010-07-27
- 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 1629382056, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Self Medical Group located?
- Self Medical Group's practice location on file with NPPES is 207 Holiday Road, Mccormick, SC 29835-3430.
- What is Self Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Self Medical Group is (864) 391-5011.
- 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 (1629382056) 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.