Active NPI
The Health Care Authority of the City of Greenville
- Family Medicine Physician
- Georgiana, AL
National Provider Identifier
1245372168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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 GREENVILLE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540003424 | Medicaid | AL |
Other names 1
- Regional Medical Center Clinics
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 LLC
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Greenville, AL
- NPI 1700862240
-
- Rural Health Clinic/Center
- Georgiana, AL
- NPI 1073958195
-
- Certified Registered Nurse Anesthetist
- Greenville, AL
- NPI 1366427437
-
- Medicare Defined Swing Bed Hospital Unit
- Greenville, AL
- NPI 1720059215
-
- General Acute Care Hospital
- Greenville, AL
- NPI 1780655332
-
- Psychiatric Hospital Unit
- Greenville, AL
- NPI 1811968308
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 8, 2019 | Change of Ownership | Regional Medical Center Clinics |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Rural Health Clinic/Center
- Georgiana, AL
- NPI 1073958195
Sold to, 2019-03-08
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
- Brittany Sheffield, CRNP
- South Butler Medical Services LLC
- Southern Express Medical Supply, Inc
- State of Alabama Department of Public Health
- The Health Care Authority of the City of Greenville
- Tri County Medical Center, Inc
- Jeffrey Dean Voreis, MD
- Holley Arnold Waller, M.S., CCC-SLP
- Chastity Waters
- Rachel Wiggins, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.