Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194699199 Individual Practitioner Female Practitioner

Sidney Celine Moore , PHYSICIAN ASSISTANT

Physician Assistant • Port Orange, FL

Professional Overview & Biography Verified Profile Summary

Sidney Moore, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Port Orange, FL. With approximately 1 years of clinical experience since completing medical education in 2025, Sidney Moore delivers high-quality medical care to the local community at 1728 DUNLAWTON AVE STE 5.

Sidney Moore does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1728 Dunlawton Ave Ste 5

Port Orange, FL 321272923

Telephone 3863043404
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Port Orange, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -5.0 yrs vs City Avg
City Avg: 6.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Port Orange, FL (10376 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (1 Years) 1 Yrs
Port Orange Specialty Average (6.0 Years) 6.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-03-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Secondary Practice Locations

325 Clyde Morris Blvd Ste 300

Ormond Beach, FL 321748179

Phone: 3863043404

385 Palm Coast Pkwy Sw Unit 2

Palm Coast, FL 321374784

Phone: 3863041811

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Sukhender Singireddy , MD

Radiology - Diagnostic Radiology

NPI 1013973882

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 28, 2026

Registered at 1728 DUNLAWTON AVE STE 5, PORT ORANGE, FL 321272923 (Tel: 3863043404)

👤
Provider Name / Credentials Updated March 28, 2026

Recorded as SIDNEY MOORE, PHYSICIAN ASSISTANT

NPI Profile Active October 02, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2025

Registered at 4850 MILLENIA BLVD, ORLANDO, FL 328396012 (Tel: 4072645601)

📍
Updated Business Mailing Address October 02, 2025

Registered at 4850 MILLENIA BLVD, ORLANDO, FL 328396012

👤
Provider Name / Credentials Updated October 02, 2025

Recorded as SIDNEY MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 02, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194699199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2025
Last Update: March 28, 2026
Sole Proprietor: Yes

Mailing Address

4850 Millenia Blvd

Orlando, FL 328396012

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.