MRS. SYDNEY DAVIS (PA-C) – Surgical Physician Assistant, NPI 1770117541

MRS. SYDNEY DAVIS (PA-C) is a healthcare provider. based in Debary, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9114154 (FL). The NPI Number for MRS. SYDNEY DAVIS (PA-C) is 1770117541

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SYDNEY DAVIS (PA-C)
NPI
1770117541
Phone
(309) 299-6020
Address
309 GREEN REED RD
Enumeration Date
2 March 2020
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
2264831460
Group Practice PAC ID
5193895969
Professional Enrollment ID
I20210520000160
Address ID
FL327711004SA305XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for MRS. SYDNEY DAVIS (PA-C)

  • 309 GREEN REED RD

    DEBARY, FL 327133194

    Phone: (309) 299-6020

    Type: Mailing

  • 1718 LEXINGTON GREEN LN

    SANFORD, FL 327711018

    Phone: (407) 302-5520

    Fax: (407) 324-2896

    Type: Location

  • 1672 N KELLOGG ST

    GALESBURG, IL 614011845

    Phone: (309) 299-6020

    Type: Mailing

  • 1441 FLORIDA AVE

    MODESTO, CA 953504418

    Phone: (209) 578-1211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $1,411.

Total Amount is formed as General ($1,411) + Research ($0) + Ownership ($0) = $1,411.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABIOMED ($603).

Total Amount

$1,411

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210520000160IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4218$0
33508Harvest of vein using an endoscope1313$0
33533Coronary artery bypass using artery graft, 1 graft1313$0
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 32713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193895969View full group profile
NameSpecialtyState
Thoracic Surgery, General SurgeryFL
U R O L O G YIL
U R O L O G YFL
O T O L A R Y N G O L O G YFL
U R O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
U R O L O G YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. SYDNEY DAVIS (PA-C)?
MRS. SYDNEY DAVIS (PA-C) — NPI 1770117541 — is the standard way to identify this listing.
Is MRS. SYDNEY DAVIS (PA-C) still practicing?
MRS. SYDNEY DAVIS (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does MRS. SYDNEY DAVIS (PA-C) hold?
Scheduling teams often label MRS. SYDNEY DAVIS (PA-C) under Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MRS. SYDNEY DAVIS (PA-C) based?
MRS. SYDNEY DAVIS (PA-C) is tied to Debary, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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