SYDNEY DERRICK MD
NPI 1740082098
Student in an Organized Health Care Education/Training Program in Charleston, SC

Q: What is Sydney Derrick's NPI number?

The NPI number for Sydney Derrick is 1740082098. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Sydney Derrick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sydney Derrick was last updated on April 20, 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.

Active since March 26, 2025PECOS Enrolled

169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 997-1132 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2026, Mar 26, 2025 (2 updates tracked since 2025).

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About Sydney Derrick Md NPPES

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

SYDNEY DERRICK MD (NPI 1740082098) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740082098

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSYDNEY DERRICKCredential: MD

Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-8905

Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905 · (843) 997-1132

Phone(843) 997-1132

Sole ProprietorNo

Enumeration DateMarch 26, 2025

Last NPPES UpdateApril 20, 20262 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1740082098 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

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.

169 ASHLEY AVE RM 202, Charleston, SC 29425

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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 (PECOS)

Sydney Derrick Md 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 20

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

SANAA ABDELMAGEED MD

Surgery