Organization Active NPI

Cyber Galenus Inc

  • Medical Specialty Clinic/Center
  • Greenville, SC
National Provider Identifier
1780262055
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CYBER GALENUS INC
Practice address
3445 Pelham Rd Ste B
Greenville, SC 29615-4194
Phone
(864) 230-3823
NPI assigned
Mar 30, 2021
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Kelly L Burchit, CBCS
Title
Billing Manater
Phone
(864) 626-3374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

3445 Pelham Rd Ste B
Greenville, SC 29615-4194

Mailing address

3445 Pelham Rd Ste B
Greenville, SC 29615-4194
Phone (864) 230-3823

Other identifiers 1

IdentifierTypeStateIssuer
1609204395OtherSCIND NPI

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL Greenville
CONNECT URL Greenville
Other URL Greenville
CONNECT URL Greenville

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1780262055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154194",
            "telephone_number": "864-230-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PELHAM RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154194",
            "telephone_number": "864-230-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYBER GALENUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "BURCHIT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANATER",
        "authorized_official_telephone_number": "864-626-3374",
        "authorized_official_credential": "CBCS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1609204395",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "address_1": "3445 Pelham Rd Ste B",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296154194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "address_1": "3445 Pelham Rd Ste B",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296154194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "address_1": "3445 Pelham Rd Ste B",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296154194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "address_1": "3445 Pelham Rd Ste B",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296154194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.