Organization Active NPI

Skylyn Wellness Center, Inc

  • Interventional Pain Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1649659137
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
14638 Issued in SC
Legal business name
SKYLYN WELLNESS CENTER, INC
Practice address
1770 Skylyn Dr
Spartanburg, SC 29307-1045
Phone
(864) 764-1670
Fax
(864) 583-8358
NPI assigned
May 29, 2015
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Michelle Lea Singleton
Title
Billing/Credentialing
Phone
(864) 764-1670

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Chiropractor 111N00000X 2495 SC
Interventional Pain Medicine Physician 208VP0014X 14638 SC Primary

Addresses

Primary practice location

1770 Skylyn Dr
Spartanburg, SC 29307-1045

Mailing address

1770 Skylyn Dr
Spartanburg, SC 29307-1045
Phone (864) 764-1670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1649659137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071045",
            "telephone_number": "864-764-1670",
            "fax_number": "864-583-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071045",
            "telephone_number": "864-764-1670",
            "fax_number": "864-583-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLYN WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "864-764-1670"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2495",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "14638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.