REGIONAL MEDICAL CENTER CLINICS
NPI 1245372168
Clinic/Center - Rural Health in Georgiana, AL

Active since February 14, 2007CLIA 01D2168970 · Waiver
125 CHURCH STREET, GEORGIANA, AL 36033(334) 376-2291(334) 376-3655 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Regional Medical Center Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGIONAL MEDICAL CENTER CLINICS (NPI 1245372168) is a healthcare organization registered as a rural health in Georgiana, Alabama and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists David Glenn Wilcox, Cfo, as its authorized official.

NPPES Registry Identity

NPI1245372168
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameIVY CREEK OF BUTLER, LLC.
Location Address125 CHURCH STREETGeorgiana, AL 36033
Mailing Address300 N College StGreenville, AL 36037 · (334) 382-2681 · Fax (334) 383-9884
Fax(334) 376-3655
Organization SubpartNo
Authorized OfficialDavid Glenn WilcoxCfo · (334) 383-2423
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJune 25, 2019
NPI 1245372168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in AL · 11769
125 CHURCH STREET, Georgiana, AL 36033

Other Names 1

Doing Business AsRegional Medical Center Clinics

Other Identifiers 1

Medicaid540003424AL

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2168970
Facility Type
Rural Health Clinic
Certificate Effective Date
October 25, 2025
Certificate Expiration Date
October 24, 2027
Laboratory Director
DR. SOPHIA E. SHER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Regional Medical Center Clinics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
125 CHURCH STREET
GEORGIANA, AL 36033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245372168, enumerated as an "organization" on February 14, 2007.

The provider is located at 125 CHURCH STREET GEORGIANA, AL 36033 and the phone number is (334) 376-2291.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.