Tribe513, P.a.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

TRIBE513, P.A.

Doing business as

Parkside OB-GYN

Practice address

525 Verdae Blvd
Suite 200
Greenville, SC 29607-4021

Phone

(864) 272-0388

Fax

(864) 213-9237

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Oostdyk

Title

Coordinator, Provider Relations

Phone

(864) 272-0388

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Parkside OB-GYN Doing business as

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Price Goforth, PA

  • Physician Assistant
  • Greenville, SC
  • NPI 1194057729
  NPD
• Hannah Cox McAlister, PA

  • Physician Assistant
  • Greenville, SC
  • NPI 1700587086
  NPD
• Dennis Ryan Paulk, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Greenville, SC
  • NPI 1841604550
  NPD
• Georgia Lynn Brady, WHNP

  • Women's Health Nurse Practitioner
  • Aiken, SC
  • NPI 1427765379
  NPD (past)
• Scott Dobson, M.D.

  • Pediatrics Physician
  • Simpsonville, SC
  • NPI 1689692444
  NPD (past)
• Alexandra Sanders Nicholson, PA-C

  • Physician Assistant
  • Greenville, SC
  • NPI 1922887801
  NPD (past)
• Sara White

  • Women's Health Nurse Practitioner
  • Greenville, SC
  • NPI 1558000877
  NPD (past)
• Andrea Nicole Wininger, M.D.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1720023146
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1154438075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD",
            "address_2": "SUITE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD",
            "address_2": "SUITE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Reidville Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293015641",
            "country_code": "US",
            "telephone_number": "864-272-0377",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Hawthorne Park Ct",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153194",
            "country_code": "US",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Main St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296012197",
            "country_code": "US",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Batesville Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296814816",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Harrison Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807133",
            "country_code": "US",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Harrison Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807133",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 E Poinsett St",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296513405",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Halter Dr",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "SC",
            "postal_code": "296736741",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIBE513, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "OOSTDYK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "COORDINATOR, PROVIDER RELATIONS",
        "authorized_official_telephone_number": "864-272-0388"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4514",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside OB-GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jami Trenor, OTR/L
• Sheyanne Trent
• Emily Merritt Tretinik, PT
• Ashley Pollock Trexler, M.D.
• Tri County Hospice, Inc. (Medical Services of America Hospice of the Upstate)
• Tribe513, P.a. (Brio)
• Tribe513, P.a. (Brio Internal Medicine)
• Tribe513, P.a. (Vive Psych)
• Tribe513, PA (Vida Gynecology)
• Karen Louise Trice, LMFT

• Pediatric Adolescent Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Pediatric Adolescent Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.