Self Medical Group

Self Medical Group is a healthcare organization registered as Family Medicine Physician in Mccormick, SC, holding Type 2 (organization) NPI 1629382056 since 2010. The authorized official on file is Matthew Logan, President and Chief Executive Offic.

✓ Active NPI ✓ Valid NPI checksum

NPI	1629382056
Entity type	Organization (Type 2)
Legal business name	Self Medical Group
Other name	<Unavail>
Practice address	207 HOLIDAY ROAD, Mccormick, SC, 29835
Phone	8643915011
Fax	8643915012
Enumeration date	2010-07-27
Last updated in NPPES	2021-12-14

Authorized official

Name	Matthew Logan
Title	President and Chief Executive Offic
Phone	8647254253

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207Q00000X	Family Medicine Physician	Primary	—	—

Copy-ready billing details

Provider: Self Medical Group
NPI: 1629382056
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 207 HOLIDAY ROAD, Mccormick, SC, 29835

Verify this record

Cross-check NPI 1629382056 against the authoritative CMS record: view Self Medical Group on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Self Medical Group located?

The practice location on file with NPPES is in Mccormick, SC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-14. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-12-14.