NPIMap

Organization Active NPI

Lakeland Community Hospital, Inc.

Doing business as Lakeland Family Practice

  • Rural Health Clinic/Center
  • Haleyville, AL
National Provider Identifier
1982162962
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LAKELAND COMMUNITY HOSPITAL, INC.
Doing business as
Lakeland Family Practice
Practice address
42030 Highway 195 Ste a
Haleyville, AL 35565-7054
Phone
(205) 485-7227
Fax
(205) 485-7229
NPI assigned
Mar 8, 2019
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Cherie Lynn Sibley, FACHE
Title
Chief Executive Officer
Phone
(205) 485-7152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

42030 Highway 195 Ste a
Haleyville, AL 35565-7054

Mailing address

42024 Highway 195 Ste a
Haleyville, AL 35565-7054
Phone (205) 485-7227

Other names 1

  • Lakeland Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190605003093 AL Part A Provider - Rural Health Clinic 8224354618 Practice locations: Haleyville, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982162962. Details of each certification follow.

Rural health clinic certification: CCN 013477

Legal name
LAKELAND COMMUNITY HOSPITAL INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 24, 2019
Last certification
Apr 1, 2026
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Sep 17, 2014 in AL
Enrollment address
42030 Highway 195
Ste a
Haleyville, AL 35565-7054
Related CCNs
011311

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJHGBD

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Roger Dexter Hayes Individual Corporate OfficerChairman Jul 1, 2023 14.29%
Corporate Director Jan 1, 2023
Venkatapur Ramesh Reddy Individual 5% Or Greater Indirect Ownership Interest Dec 28, 2018 14.29%
Amber James Individual Corporate Director Jan 1, 2025 14.29%
The Healthcare Authority of Haleyville and Winston County Alabama Organization, Haleyville, AL Non-profit 5% Or Greater Direct Ownership Interest Dec 28, 2018 100%
Cherie E Sibley Individual Corporate OfficerSecretary/Treasurer Jul 1, 2023 14.29%
W-2 Managing EmployeeAd; Mar 18, 2025
Barry Tidwell Individual Corporate Director Jan 1, 2025
Seth D Smothers Individual Corporate Director Dec 1, 2023 14.29%
Shannon Gregory Lollar Individual Corporate Director Jan 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1982162962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42024 HIGHWAY 195 STE A",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-485-7227",
            "fax_number": "205-485-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42030 HIGHWAY 195 STE A",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "355657054",
            "telephone_number": "205-485-7227",
            "fax_number": "205-485-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "SIBLEY",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "205-485-7152",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeland Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haleyville, AL

Sources for this page

Verify at the official NPI Registry.