Individual provider Active NPI

Sydney Herschelman

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1649174418
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1817 Great Oaks Dr
Raleigh, NC 27608-1956
Phone
(919) 348-8360
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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 NU Primary

Addresses

Primary practice location

1817 Great Oaks Dr
Raleigh, NC 27608-1956

Mailing address

1817 Great Oaks Dr
Raleigh, NC 27608-1956
Phone (919) 348-8360

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1649174418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 GREAT OAKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081956",
            "telephone_number": "919-348-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 GREAT OAKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276081956",
            "telephone_number": "919-348-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHELMAN",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "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 Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.