PARKSIDE OB-GYN
NPI 1154438075
Pediatrics - Adolescent Medicine in Greenville, SC
NPI Status: Active since August 24, 2006
Contact Information
525 VERDAE BLVD
SUITE 200
GREENVILLE, SC
ZIP 29607
Phone: (864) 272-0388
Fax: (864) 213-9237
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 42D2119478
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-27-2026
About PARKSIDE OB-GYN
This page provides the complete NPI Profile along with additional information for Parkside Ob-gyn, a pediatrician established in Greenville, South Carolina operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1154438075 assigned on August 2006. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Parkside Ob-gyn operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Parkside Ob-gyn. The authorized official of this NPI record is Melissa Oostdyk (Coordinator, Provider Relations)
- NPI
- 1154438075
- Provider Legal Name
- TRIBE513, P.A.
- Other Organization Name
- PARKSIDE OB-GYN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 525 VERDAE BLVD SUITE 200 GREENVILLE, SC 29607
- Location Phone
- (864) 272-0388
- Location Fax
- (864) 213-9237
- Mailing Address
- 525 VERDAE BLVD SUITE 200 GREENVILLE, SC 29607
- Mailing Phone
- (864) 272-0388
- Mailing Fax
- (864) 213-9237
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-24-2006
- Last Update Date
- 03-02-2020
- Code Navigator
A pediatrician like Parkside Ob-gyn is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 211 Batesville Rd
Simpsonville, SC 29681
(864) 272-0388 - 9 Hawthorne Park Ct
Greenville, SC 29615
(864) 603-5600 - 201 N Main St
Greenville, SC 29601
(864) 603-5600 - 312 Harrison Bridge Rd
Simpsonville, SC 29680
(864) 272-0388 - 3020 Reidville Rd Ste B
Spartanburg, SC 29301
(864) 272-0377 - 312 Harrison Bridge Rd
Simpsonville, SC 29680
(864) 603-5600 - 30 Halter Dr
Piedmont, SC 29673
(864) 272-0388 - 145 E Poinsett St
Greer, SC 29651
(864) 272-0388
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- SC
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | (SC) |
| 2 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP4514 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2119478
- Facility Type
- Physician Office
- Certificate Effective Date
- September 28, 2024
- Certificate Expiration Date
- September 27, 2026
- Laboratory Director
- CHARLES GREENE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Parkside Ob-gyn in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154438075, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154438075, enumerated as an "organization" on August 24, 2006.
The provider is located at 525 VERDAE BLVD SUITE 200 GREENVILLE, SC 29607 and the phone number is (864) 272-0388.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
