Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Sydney Summers

Individual provider Surgical Physician Assistant · NPI 1104398023

Sydney Summers is a Physician Assistant in Orange Park, Florida. Qualified in 2018, 8 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1564 Kingsley Ave Ste 300
Orange Park, FL 32073
Phone: (904) 264-8801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2903 Cottonwood Lane, Colleyville, TX 76034 — (817) 307-7908

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9111854 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1104398023
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2018
Last updated in NPPESJanuary 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients43
Services billed 55 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Ut Of Texas Southwestern University Hospital - William P. Clements Jr. Hospital · Dallas, TX

Colleagues at University of Texas Southwestern Medical Center at Dallas

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3149 clinicians in the practice; 12 are shown here.

Other providers in Orange Park