Organization Active NPI

Skylyn Medical Associates PA

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1831143965
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SKYLYN MEDICAL ASSOCIATES PA
Practice address
1776 Skylyn Dr
Spartanburg, SC 29307-1045
Phone
(864) 577-9970
Fax
(864) 577-9952
NPI assigned
May 22, 2006
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Melva J Ware
Title
Office Manager
Phone
(864) 577-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1776 Skylyn Dr
Spartanburg, SC 29307-1045

Mailing address

1776 Skylyn Dr
Spartanburg, SC 29307-1045
Phone (864) 577-9970

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1831143965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071045",
            "telephone_number": "864-577-9970",
            "fax_number": "864-577-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 SKYLYN DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071045",
            "telephone_number": "864-577-9970",
            "fax_number": "864-577-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLYN MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "MELVA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-577-9970"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 Sep 17, 2012; 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.