Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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
Mailing address7855 Argyle Forest Blvd Ste 101, Jacksonville, FL 32244-5597

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

Other providers in Orange Park