Individual provider Active NPI

Sybil Robb, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1124094735
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103122 Issued in NC
Practice address
800 Springfield Commons Dr
Suite 115
Raleigh, NC 27609-8532
Phone
(919) 876-3656
Fax
(919) 876-2351
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103122 NC Primary

Addresses

Primary practice location

800 Springfield Commons Dr
Suite 115
Raleigh, NC 27609-8532

Mailing address

800 Springfield Commons Dr
Suite 115
Raleigh, NC 27609-8532
Phone (919) 876-3656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
103122NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Dermatology, P.a. PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124094735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRINGFIELD COMMONS DR",
            "address_2": "SUITE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098532",
            "telephone_number": "919-876-3656",
            "fax_number": "919-876-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRINGFIELD COMMONS DR",
            "address_2": "SUITE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098532",
            "telephone_number": "919-876-3656",
            "fax_number": "919-876-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBB",
        "first_name": "SYBIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.