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SYDNEY BAUCOM PA
NPI 1215791827
Physician Assistant in Ladson, SC

Active since February 13, 2024PECOS EnrolledAccepts Medicare Assignment
3495 IRON HORSE RD, LADSON, SC 29456(843) 793-5970 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sydney Baucom Pa NPPES

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

SYDNEY BAUCOM PA (NPI 1215791827) is an individual physician assistant in Ladson, South Carolina, licensed in (6050) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2025).

NPPES Registry Identity

NPI1215791827
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSYDNEY BAUCOMCredential: PA
Location Address3495 IRON HORSE RDLadson, SC 29456-4319
Mailing AddressPo Box 530062Atlanta, GA 30353-0062
Phone(843) 793-5970
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2025
Enumeration DateFebruary 13, 2024
Last NPPES UpdateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1215791827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 6050
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3495 IRON HORSE RD, Ladson, SC 29456
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sydney Baucom Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799279709
PECOS Enrollment IDI20251208002975
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29456 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

VICTORIA MICHELLE KENNEDY FNP
Nurse Practitioner (Family)
3495 IRON HORSE RD
LADSON, SC 29456
Berkeley County (843) 793-5970
MICHAEL R. STAVERSKY PA-C
Physician Assistant
3495 IRON HORSE RD
LADSON, SC 29456
Berkeley County (843) 793-5970
PPCP SPECIALTY PHYSICIANS , LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3495 IRON HORSE RD
LADSON, SC 29456
Berkeley County (843) 820-3453
WILSON MCCALL FITCHETT DNP, FNP-C
Nurse Practitioner (Family)
3495 IRON HORSE RD
LADSON, SC 29456
Berkeley County (843) 793-5970
PALMETTO PRIMARY CARE PHYSICIANS, LLC
Family Medicine
3495 IRON HORSE RD
LADSON, SC 29456
Berkeley County (843) 302-8845
KATALINA ROMERO FUNKE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3495 IRON HORSE RD
LADSON, SC 29456
Berkeley County (843) 820-3453
JULIANA ZAMPATORI PA
Physician Assistant
3495 IRON HORSE RD
LADSON, SC 29456
Berkeley County (843) 793-5970
REBECCA NELSON
Physician Assistant
3495 IRON HORSE RD
LADSON, SC 29456
Berkeley County (843) 793-5970

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 Baucom's NPI number?

The NPI number for Sydney Baucom is 1215791827. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Sydney Baucom located?

Sydney Baucom practices at 3495 Iron Horse Rd, Ladson, SC 29456. The listed phone number is (843) 793-5970.

What is Sydney Baucom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sydney Baucom enrolled in Medicare?

Yes. Sydney Baucom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sydney Baucom affiliated with any hospitals?

According to CMS data, Sydney Baucom is affiliated with Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Sydney Baucom was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.