NPIMap

Organization Active NPI

Sycamore Lakeland LLC

  • Emergency Medicine Physician
  • Haleyville, AL
National Provider Identifier
1184472789
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SYCAMORE LAKELAND LLC
Practice address
42024 Al-195
Haleyville, AL 35565
Phone
(205) 486-5213
NPI assigned
May 8, 2024
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathryn Semke
Title
Senior Vice President Finance
Phone
(256) 710-9656

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

42024 Al-195
Haleyville, AL 35565

Mailing address

PO Box 197580
Nashville, TN 37219-5780
Phone (877) 346-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240621001173 AL Part B Supplier - Clinic/Group Practice 2668915471 Receives reassigned benefits from 40 practitioners
Practice locations: Haleyville, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1184472789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 197580",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372195780",
            "telephone_number": "877-346-2211",
            "fax_number": "407-324-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42024 AL-195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "35565",
            "telephone_number": "205-486-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE LAKELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "SEMKE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "256-710-9656"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleyville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.