SIDNEY ALAN HUMPHREY PA-C
NPI 1659349405
Physician Assistant - Medical in Charleston, WV

Active since March 09, 2006
5430 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 925-3627(304) 925-1163 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sidney Alan Humphrey Pa-c NPPES

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

SIDNEY ALAN HUMPHREY PA-C (NPI 1659349405) is an individual medical provider in Charleston, West Virginia, licensed in West Virginia (811) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1659349405
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSIDNEY ALAN HUMPHREYCredential: PA-C
Location Address5430 MACCORKLE AVE SECharleston, WV 25304-2224
Mailing Address1869 Shamblin Run RdGiven, WV 25245-8034 · (304) 588-7900
Fax(304) 925-1163
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJune 2, 2016
NPI 1659349405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WV · 811
Also ListedPhysician AssistantTaxonomy 363A00000X · License 306 (WV)
5430 MACCORKLE AVE SE, Charleston, WV 25304

Other Identifiers 1

Medicare UPINP66523

Other Providers at the Same Location NPPES 7

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

Physician Assistant
5430 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant
5430 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant
5430 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant (Medical)
5430 MACCORKLE AVE SE
CHARLESTON, WV 25304
Clinic/Center (Urgent Care)
5430 MACCORKLE AVE SE
CHARLESTON, WV 25304
Clinic/Center (Urgent Care)
5430 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
5430 MACCORKLE AVE SE
CHARLESTON, WV 25304

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 Sidney Humphrey's NPI number?

The NPI number for Sidney Humphrey is 1659349405. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Sidney Humphrey located?

Sidney Humphrey practices at 5430 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 925-3627.

What is Sidney Humphrey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Sidney Humphrey was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.