Individual provider Active NPI

Shamicka North, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Orlando, FL
National Provider Identifier
1558618173
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
320335 Issued in LA
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 303-6413
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 154525 FL
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 320335 LA Primary
Pediatrics Physician 208000000X ME154525 FL

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-6413

Other practice location 1

8300 Constantin Blvd
Baton Rouge, LA 70809-3489
Phone (225) 374-1410

Other practice location 2

200 Henry Clay Ave
New Orleans, LA 70118-5798
Phone (504) 894-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191125000558 LA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 4385920065 Reassigns benefits to 3 organizations
I20221208001911 FL Practitioner - Pediatric Medicine 4385920065 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME154525FLMDPediatrics Physician
154525FLMDPediatric Emergency Medicine (Pediatrics) Physician
320335LAMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Jun 1, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Southwest Florida Emergency Management LLC CurrentSince Sep 3, 2022 Accepting new patients
Children's Hospital Pediatric Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Tampa Bay Emergency Physicians-Heartland LLC CurrentSince Sep 1, 2025 Accepting new patients
WJH Physician Services Pediatrics CurrentSince Oct 1, 2020 Accepting new patients
Inphynet Contracting Services LLC Pediatric Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Nov 20, 2023 Accepting new patients
Our Lady of the Lake Physician Group LLC Pediatrics CurrentSince Nov 20, 2023 Accepting new patients
Children's Hospital CurrentSince Aug 1, 2019 Accepting new patients

Locations

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

7727 Lk Under Hl
Orlando, FL 32822
Phone (407) 303-6413

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

8300 Constantin Blvd
Baton Rouge, LA 70809
Phone (225) 374-1410

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

1111 Medical Center Blvd
Ste S250
Marrero, LA 70072
Phone (504) 347-5511

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

200 Henry Clay Ave
Ste 2022
New Orleans, LA 70118

Interoperability endpoints

  • Direct secure messaging: snorth5256708@direct.casso.us.com
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: snorth272742@direct.tgh.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1558618173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Constantin Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093489",
            "country_code": "US",
            "telephone_number": "225-374-1410",
            "fax_number": "225-374-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Henry Clay Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701185798",
            "country_code": "US",
            "telephone_number": "504-894-5445",
            "fax_number": "504-896-9707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTH",
        "first_name": "SHAMICKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "154525",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "LA",
            "license": "320335",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME154525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.