Sydney Coleen Travis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-17111 Issued in NC

Practice address

1410 4TH Street Dr NW Ste 102
Hickory, NC 28601-2573

Phone

(828) 784-0195

NPI assigned

Sep 24, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1669385167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LAFFON RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588641",
            "telephone_number": "828-639-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 4TH STREET DR NW STE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012573",
            "telephone_number": "828-784-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "SYDNEY",
        "middle_name": "COLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-17111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Toth, M.D.
• Nancy J Toy, M.D.
• Diem-Mi Nguyen Tra, PA-C
• Melanie M Trado, PA-C
• Travis Glass Counseling PLLC (NeuroGrowth Counseling and Wellness)
• Savannah Maria Tribolet, LCAS-A
• Trina Insook Tridico, MD
• Jason Triplett, MA, LPCA, NCC
• Janese Agnew Trivette, NP
• Jennifer Carpenter Trivette, OTRL

• Physician Assistant in Hickory, NC
• Providers in Hickory, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.