Organization
SELF REGIONAL HEALTHCARE
Active
Other names
Lakelands Neurology, Self Regional Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TOLBERT LOGAN (PRESIDENT & CEO)
(864) 725-4780
Entity
Organization
Contact information
Practice address
102 KATIE CT, GREENWOOD, SC 29646-4068
(864) 725-7800
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
2084A2900X
Neurocritical Care Physician
—
—
2084E0001X
Epilepsy Physician
—
—
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
07/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up