Ps121 Management PA
NPI 1699252163 · Obstetrics & Gynecology Physician · Greenville, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ps121 Management PA is a Obstetrics & Gynecology Physician organization in Greenville, SC (NPI 1699252163).
Provider details
- NPI number
- 1699252163
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryanna Wyatt, Office Manager(864) 720-1299
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vida Gynecology
Registry dates
- Enumerated
- 2018-07-26
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Frequently asked questions
- What is Ps121 Management PA's NPI number?
- Ps121 Management PA's National Provider Identifier (NPI) is 1699252163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ps121 Management PA?
- Ps121 Management PA is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Ps121 Management PA located?
- Ps121 Management PA's practice location on file with NPPES is 330c Pelham Rd Ste a, Greenville, SC 29615-3111.
- What is Ps121 Management PA's phone number?
- The practice phone number listed in the NPPES registry for Ps121 Management PA is (864) 720-1299.
- Does Ps121 Management PA accept Medicare?
- Ps121 Management PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ps121 Management PA?
- The authorized official listed on Ps121 Management PA's NPPES record is Bryanna Wyatt, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ps121 Management PA's NPI active?
- Yes — Ps121 Management PA's NPI (1699252163) is active in the NPPES registry as of the last update on 2023-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.