Rmcca Clinic a LLC
Organization Active NPI Clinic/Center · Greenville, AL
NPI 1477979672 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477979672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- RMCCA CLINIC A LLC
- Practice address
- 300 N College St
Greenville, AL 36037 - Phone
- (334) 382-2681
- Fax
- (334) 383-9884
- NPI assigned
- Mar 12, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE
Authorized official
- Name
- Amanda Salter
- Title
- Physician Practice Director
- Phone
- (334) 382-5564
Owners & managing parties with NPI records 5
Other NPIs on the same Medicare enrollment 2
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 3
Practitioners 8
-
William Crawford Freeman, M.D.
-
Ashley Nicole Huggins, CRNP
-
Lakshmikantha Kumbla, M.D.
-
Charles Rutter, C.R.N.A.
-
Amelia J Whiddon, CRNA
-
Amrita Yearwood, MD
-
Timothy E. Dickey, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
Rural health clinic certification: CCN 013457
- Legal name
- RMCCA CLINIC A LLC
- Doing business as
- REGIONAL MEDICAL CENTER CLINICS
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Aug 29, 2014
- Last certification
- Nov 2, 2022
- Ownership / control type
- 2B
- Organization structure
- LLC · Non-profit
- Enrollment address
- 300 N College St
Greenville, AL 36037-2025 - Related CCNs
- 010150
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Phillip Fouts |
Corporate Officer |
Apr 1, 2023 | |
| W-2 Managing Employee |
Apr 1, 2023 | ||
| Dexter McLendon |
Corporate Director |
Jul 18, 2017 | |
| Amanda Salter |
Corporate Director |
Apr 1, 2023 | |
| W-2 Managing Employee |
Apr 1, 2023 | ||
| James Dunklin |
Corporate Director |
Jul 18, 2017 | |
| John Selman |
Corporate Director |
Nov 1, 2017 | |
| The Health Care Authority of the City of Greenville - LV Stabler Hospi |
5% Or Greater Direct Ownership Interest | Sep 1, 2019 | 100% |
| Eddie Cook |
Corporate Director |
Jul 18, 2017 | |
| Michael Patrick Trammell |
Corporate Officer |
Apr 1, 2023 | |
| W-2 Managing Employee |
Apr 1, 2023 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Sep 1, 2019 | Change of Ownership |
Regional Medical Center Clinics |
| Sep 1, 2019 | Change of Ownership |
Regional Medical Center Clinics |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130603000397 | AL | Part B Supplier - Clinic/Group Practice | 4981840139 |
Receives reassigned benefits from 3 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Georgiana, AL |
| O20191125001301 | AL | Part a Provider - Rural Health Clinic | 4082047477 | Practice locations: Greenville, AL |
National Provider Directory
- Part of
- Ivy Creek of Butler LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
300 N College St
Greenville, AL 36037
Mailing address
300 N College St
Greenville, AL 36037
Phone (334) 382-2681
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170603 | Medicaid | AL |
Other names
- Regional Medical Center Clinics
NPI Registry JSON
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1477979672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N COLLEGE ST",
"city": "GREENVILLE",
"state": "AL",
"postal_code": "36037",
"telephone_number": "334-382-2681",
"fax_number": "334-383-9884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N COLLEGE ST",
"city": "GREENVILLE",
"state": "AL",
"postal_code": "36037",
"telephone_number": "334-382-2681",
"fax_number": "334-383-9884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RMCCA CLINIC A LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE",
"enumeration_date": "2014-03-12",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"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": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170603",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regional Medical Center Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Greenville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.