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Self Medical Group

Rural Health Clinic/Center in Newberry, SC · enumerated 2009 · authorized official Matthew Logan, President and Chief Executive Offic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477880003

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Registry record

Entity type Organization (Type 2)
Legal business name Self Medical Group
Other name <Unavail>
Practice address 2605 Kinard Street, Suite 200, Newberry, SC, 29108
Phone (803) 405-1900
Fax (803) 405-1919
Enumeration date Nov 3, 2009
Last updated in NPPES Dec 14, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License RHC208 (SC) Primary

Authorized official

Name Matthew Logan
Title President and Chief Executive Offic
Phone (864) 725-4253

Other identifiers

Identifier Type State Issuer
GP5316 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Self Medical Group?
NPPES lists Matthew Logan (President and Chief Executive Offic) as the authorized official for this organization.
What is the NPI number for Self Medical Group?
The NPI for Self Medical Group is 1477880003, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-14.