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VIDA GYNECOLOGY
NPI 1093265456
Obstetrics & Gynecology in Greenville, SC

Active since October 10, 2016CLIA 42D2114688 · Microscopy
274 COMMONWEALTH DR, SUITE A, GREENVILLE, SC 29615(864) 720-1299(864) 720-1300 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vida Gynecology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDA GYNECOLOGY (NPI 1093265456) is a healthcare organization registered as an obstetrics & gynecology in Greenville, South Carolina and active in the NPI registry since October 2016. The organization holds a CLIA Microscopy certificate valid through June 19, 2028 and lists Melissa Kay Oostdyk, Coordinator, Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1093265456
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTRIBE513, PA
Location Address274 COMMONWEALTH DR, SUITE AGreenville, SC 29615-4869
Mailing Address274 Commonwealth Dr, Suite AGreenville, SC 29615-4869 · (864) 720-1299 · Fax (864) 720-1300
Phone(864) 720-1299
Fax(864) 720-1300
Organization SubpartYesParent: Tribe513, P.a.
Authorized OfficialMelissa Kay OostdykCoordinator, Provider Relations · (864) 720-1299
Enumeration DateOctober 10, 2016
✔ NPI 1093265456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
274 COMMONWEALTH DR, Greenville, SC 29615
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Other Names 1

Doing Business AsVida Gynecology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2114688

Ps121 Management PA Dba Vida Gynecology · Greenville, SC
Active · expires Jun 19, 2028
CLIA Number42D2114688
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorKimberly S. Holloway
Laboratory Phone(864) 720-1299
Laboratory LocationPs121 Management PA Dba Vida Gynecology330C Pelham Road, Suite A, Greenville, SC 29615
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXPRESSCARE PEDIATRICS, PC
Clinic/Center (Health Service)
274 COMMONWEALTH DR, SUITE C
GREENVILLE, SC 29615
Greenville County (864) 551-2422
MR. DAVID DEVON WILT FNP
Nurse Practitioner
274 COMMONWEALTH DR
GREENVILLE, SC 29615
Greenville County (864) 286-8222
JOHN FRANCIS PILCH M.D.
Psychiatry & Neurology (Neurology)
274 COMMONWEALTH DR
GREENVILLE, SC 29615
Greenville County (864) 286-8222
DR. DAWN POLLY M.D.
Pediatrics
274 COMMONWEALTH DR, SUITE C
GREENVILLE, SC 29615
Greenville County (864) 551-2422
EXPRESS PEDIATRIC CARE, P.A.
Pediatrics
274 COMMONWEALTH DR, SUITE C
GREENVILLE, SC 29615
Greenville County (864) 551-2422
MRS. EVANS NESTERTSOV APRN, FNP-C
Nurse Practitioner (Family)
274 COMMONWEALTH DR
GREENVILLE, SC 29615
Greenville County (864) 478-8580
MERCY OB GYN
Obstetrics & Gynecology
274 COMMONWEALTH DR, SUITE B
GREENVILLE, SC 29615
Greenville County (864) 288-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tribe513, PA's NPI number?

The NPI number for Tribe513, PA is 1093265456. It was assigned to this organization in the NPPES registry on October 10, 2016. The provider is doing business as Vida Gynecology.

Where is Tribe513, PA located?

Tribe513, PA is located at 274 Commonwealth Dr Suite A, Greenville, SC 29615. The listed phone number is (864) 720-1299.

What is Tribe513, PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Tribe513, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2114688) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tribe513, PA was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.