NPIMap

Organization Active NPI

Myriad Support Center

  • Case Management Agency
  • Winston Salem, NC
National Provider Identifier
1427388693
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MYRIAD SUPPORT CENTER
Practice address
3540 Vest Mill Rd Ste 6
Winston Salem, NC 27103-2988
Phone
(336) 602-2940
NPI assigned
Jan 11, 2010
Organization subpart
Yes
Parent organization
SURRENT CAPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Yussef L Gilkey
Title
Ceo
Phone
(336) 602-2940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3540 Vest Mill Rd Ste 6
Winston Salem, NC 27103-2988

Mailing address

3540 Vest Mill Rd Ste 6
Winston Salem, NC 27103-2988
Phone (336) 602-2940

National Provider Directory

National Provider Directory
Tax ID family
Myriad Support Center5 organizations share this tax ID, including this one
Part of
Myriad Support Center

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1427388693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 VEST MILL RD STE 6",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032988",
            "telephone_number": "336-602-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 VEST MILL RD STE 6",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032988",
            "telephone_number": "336-602-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRIAD SUPPORT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURRENT CAPITAL, INC",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "GILKEY",
        "authorized_official_first_name": "YUSSEF",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-602-2940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.