Active NPI
Michael Scott Cyra, PSYCHIATRIC NP
- Psychiatric/Mental Health Nurse Practitioner
- Ft. Benning, GA
National Provider Identifier
1659500411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- YET TO BE GIVEN
- Practice address
- 7950 Martin Loop
Martin Army Community Hospital
Ft. Benning, GA 31905 - Phone
- (706) 544-4915
- NPI assigned
- Jul 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | YET TO BE GIVEN | UT | Primary |
Addresses
Primary practice location
7950 Martin Loop
Martin Army Community Hospital
Ft. Benning, GA 31905
Mailing address
Martin Army Community Hospital
7950 Martin Loop
Ft. Benning, GA 31905
Phone (706) 544-4915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| YET TO BE GIVEN | UT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1659500411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MARTIN ARMY COMMUNITY HOSPITAL",
"address_2": "7950 MARTIN LOOP",
"city": "FT. BENNING",
"state": "GA",
"postal_code": "31905",
"telephone_number": "706-544-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 MARTIN LOOP",
"address_2": "MARTIN ARMY COMMUNITY HOSPITAL",
"city": "FT. BENNING",
"state": "GA",
"postal_code": "31905",
"telephone_number": "706-544-4915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CYRA",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PSYCHIATRIC NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-14",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "UT",
"license": "YET TO BE GIVEN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft. Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.