SELF MEDICAL GROUP (NPI# 1205141371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205141371 |
| Entity Type | Organization |
| Organization Name | SELF MEDICAL GROUP |
| Other Organization Name | WESTERN CAROLINA PSYCHIATRIC ASSOCIATES A DIVISION OF SELF MEDICAL GRO |
| Practice Address |
1033 Edgefield St Greenwood SC 29646-3205 |
| Practice Telephone | 8642273908 |
| Practice Fax Number | 8642272668 |
| Mailing Telephone | 8642273908 |
| Mailing Fax Number | 8642272668 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2014-07-28 |
| Authorized Official Name | JAMES A PFEIFFER (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| 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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Western Carolina Psychiatric Associates a division of Self Medical Gro | 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 |
1033 EDGEFIELD ST |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316404 | Jennifer C Duffie | Social Worker | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2005-09-13 |
| 1073161485 | Mariah Montana Aden | Physician Assistant | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2019-08-28 |
| 1851634653 | David Wayne Simons | Physician Assistant | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2013-03-29 |
| 1033408612 | Kunal Anilbhai Patel | Psychiatry & Neurology | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2011-04-04 |
| 1265750277 | Violeta Nistor | Psychiatry & Neurology | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2010-05-14 |
| 1346479847 | Emile Andrew Barrouk | Psychiatry & Neurology | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2009-07-07 |
| 1275662595 | Adrienne Nikisha Logan | Social Worker | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2007-03-04 |
| 1164503348 | Kelly A. Gallagher-kiley | Social Worker | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2006-10-17 |
| 1386674620 | Claben Rey M Barraca | Psychiatry & Neurology | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2006-07-03 |
| 1225064462 | Peggy D Manalich | Counselor | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2006-06-22 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| 1558621060 | Emily M Zarse | Psychiatry & Neurology | 3000 N State Rd 135, Ste 230, Greenwood, IN 46143 | 2012-05-18 |
| 1790088789 | Greenwood Psychiatric Associates Inc. | Psychiatry & Neurology | 1945 Dockside Dr, Greenwood, IN 46143-8240 | 2010-12-13 |
| 1902826936 | Vikram M. Patel | Psychiatry & Neurology | 898 E Main Street, Greenwood, IN 46143-1407 | 2006-07-20 |
| 1932126901 | Sajal K Bose | Psychiatry & Neurology | 896 E Main St, 4, Greenwood, IN 46143-1440 | 2006-07-16 |
| 1750829230 | Altus Direct, LLC | Psychiatry & Neurology | 701 E County Line Rd, Suite 210, Greenwood, IN 46143-1072 | 2017-02-06 |
| 1104239516 | Venu Alapati | Psychiatry & Neurology | 898 E Main St, Greenwood, IN 46143-1407 | 2014-06-04 |
| 1205253820 | Self Medical Group | Psychiatry & Neurology | 1325 Spring St, Greenwood, SC 29646-3860 | 2014-03-20 |
| 1952676116 | Shenitta Moore | Psychiatry & Neurology | 1401 River Rd, Rm 534, Greenwood, MS 38930-4030 | 2012-03-20 |
| 1033408612 | Kunal Anilbhai Patel | Psychiatry & Neurology | 1033 Edgefield St, Greenwood, SC 29646-3205 | 2011-04-04 |
| Find all providers in GREENWOOD | ||||
Please comment or provide details below to improve the information on SELF MEDICAL GROUP.
| 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.