Organization Active NPI

The Health Care Authority of the City of Greenville

  • Family Medicine Physician
  • Georgiana, AL
National Provider Identifier
1245372168
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE
Practice address
125 Church Street
Georgiana, AL 36033
Phone
(334) 376-2291
Fax
(334) 376-3655
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Amanda Salter
Title
Physician Practice Director
Phone
(334) 382-5564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

125 Church Street
Georgiana, AL 36033

Mailing address

125 Church St
Georgiana, AL 36033
Phone (334) 376-2291

Other identifiers 1

IdentifierTypeStateIssuer
540003424MedicaidAL

Other names 1

  • Regional Medical Center Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
Ivy Creek of Butler LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 8, 2019 Change of OwnershipThis provider was the seller Regional Medical Center ClinicsCCN 013424, AL, NPI 1073958195

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1245372168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CHURCH ST",
            "city": "GEORGIANA",
            "state": "AL",
            "postal_code": "36033",
            "telephone_number": "334-376-2291",
            "fax_number": "334-383-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHURCH STREET",
            "city": "GEORGIANA",
            "state": "AL",
            "postal_code": "36033",
            "telephone_number": "334-376-2291",
            "fax_number": "334-376-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE DIRECTOR",
        "authorized_official_telephone_number": "334-382-5564"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540003424",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Medical Center Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgiana, AL

Sources for this page

Verify at the official NPI Registry.