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SYDNEY CLARK
NPI 1205648250
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since January 24, 2025PECOS Enrolled
4029 BURNETT-WOMACK BLDG CB #7081, CHAPEL HILL, NC 27599(984) 974-1000 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sydney Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYDNEY CLARK (NPI 1205648250) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (RTL25-0366) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205648250
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSYDNEY CLARK
Location Address4029 BURNETT-WOMACK BLDG CB #7081Chapel Hill, NC 27599-3082
Mailing Address4029 Burnett-womack Building Cb #7081Chapel Hill, NC 27599-0001
Phone(984) 974-1000
Sole ProprietorNo
Enumeration DateJanuary 24, 2025
Last NPPES UpdateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1205648250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NC · RTL25-0366
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNA CHEN MD
Student in an Organized Health Care Education/Training Program
4029 BURNETT-WOMACK BLDG CB #7081
CHAPEL HILL, NC 27599
Orange County (984) 974-0150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sydney Clark's NPI number?

The NPI number for Sydney Clark is 1205648250. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Where is Sydney Clark located?

Sydney Clark practices at 4029 Burnett-Womack Bldg Cb #7081, Chapel Hill, NC 27599. The listed phone number is (984) 974-1000.

What is Sydney Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sydney Clark enrolled in Medicare?

Yes. Sydney Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sydney Clark was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.