SELF MEDICAL GROUP (NPI# 1740788165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740788165 |
| Entity Type | Organization |
| Organization Name | SELF MEDICAL GROUP |
| Other Organization Name | ADVANCED EMERGENCY PHYSICIANS, A DIVISION OF SELF MEDICAL GROUP |
| Practice Address |
1325 Spring St Greenwood SC 29646-3860 |
| Practice Telephone | 8647254111 |
| Mailing Telephone | 8647254111 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Authorized Official Name | JAMES PFEIFFER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8647254253 |
| Is Organization Subpart | Y |
| Parent Organization Name | SELF MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Emergency Physicians, A Division of Self Medical Group | Other Name - Individual/Organization |
| SMG Emergency Care Physicians | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212130 | Self Medical Group | Family Medicine | 105 Vinecrest Ct # 510, Greenwood, SC 29646-8031 | 2019-05-29 |
| 1750800264 | Self Medical Group | Family Medicine | 110 Highway 246 N, Greenwood, SC 29649-8748 | 2017-09-15 |
| 1760808083 | Self Medical Group | Clinic/Center | 450 Old Brickyard Rd, Greenwood, SC 29649-8681 | 2014-03-11 |
| 1588969448 | Self Medical Group | Nurse Practitioner | 104 Liner Drive, Greenwood, SC 29646 | 2011-01-24 |
| 1417252636 | Self Medical Group | Family Medicine | 138 Wells Avenue, Greenwood, SC 29646-3837 | 2011-01-19 |
| 1376843037 | Self Medical Group | Obstetrics & Gynecology | 107 Venture Court, Greenwood, SC 29649-8558 | 2010-10-28 |
| 1629382056 | Self Medical Group | Family Medicine | 207 Holiday Road, Mccormick, SC 29835-3430 | 2010-07-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1134442890 | Self Medical Group | Physician Assistant | 115 Academy Avenue, Unit A, Greenwood, SC 29646 | 2010-03-10 |
| 1457685570 | Self Medical Group | Surgery | 160 Academy Avenue, Greenwood, SC 29646-3808 | 2009-09-22 |
| Street Address |
1325 SPRING ST |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205822319 | Lincoln M Mcginnis | Internal Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2005-09-23 |
| 1528669116 | Kristina Riley Nelson | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-11-02 |
| 1295335933 | Lauren R Whitfield | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-30 |
| 1467052738 | Ariel Symone Mcwilliams | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3875 | 2020-10-27 |
| 1811597149 | Heather Champion | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1770183097 | Catherine Anne Miller | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1750981056 | Missouri M Jenkins | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1962002139 | Rebecca Lay | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-27 |
| 1437759727 | Amy Graves | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3875 | 2020-10-27 |
| 1316546989 | Kevin Elrod | Pharmacist | 1325 Spring St, Greenwood, SC 29646-3860 | 2020-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326476003 | Medexpress Urgent Care, PC - Indiana | Emergency Medicine | 489 South State Road 135, Suite E, Greenwood, IN 46142-1407 | 2013-10-16 |
| 1386801504 | Stephanie Lynne Riley | Emergency Medicine | 4564 Driftwood Ln, Greenwood, IN 46143-8164 | 2008-05-16 |
| 1427397306 | Doctors Care Sc, Pa | Emergency Medicine | 516 Montague Ave, Greenwood, SC 29649-1942 | 2013-02-12 |
| 1114155710 | Richard D Brooksbank | Emergency Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2009-06-23 |
| 1730218538 | Richard Graham | Emergency Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2007-03-05 |
| 1568502714 | William B Harper | Emergency Medicine | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-07 |
| 1427197052 | Louis J Moses | Emergency Medicine | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-06 |
| 1013057645 | Paula J Spence-evans | Emergency Medicine | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-06 |
| 1770681876 | Stephen Richard Schwab | Emergency Medicine | 1325 Spring St, Greenwood, SC 29646 | 2006-09-20 |
| 1912000860 | James Bruce Cook | Emergency Medicine | 1325 Spring St, Greenwood, SC 29646-3860 | 2006-09-06 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.