Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Self Medical Group

Organization Sports Medicine (Family Medicine) Physician · NPI 1952772253

Self Medical Group is a Sports Medicine (Family Medicine) Physician in Greenwood, South Carolina. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
5
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Practice location Address checks out

102 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone: (864) 229-2663
Fax: (864) 223-0539
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Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1952772253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Logan — President · (864) 725-4253
Other names Orthopaedic Associates Of The Lakelands, A Division Of Self Medical; Orthopaedic Associates Of The Lakelands, A Division Of Self Medical
NPI enumeratedOctober 13, 2015
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address102 Gregor Mendel Cir, Greenwood, SC 29646-2315

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