Active NPI
Courtney Carter, CRNP
- Adult Health Nurse Practitioner
- Selma, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1-100214
- Practice address
- 1023 Medical Center Pkwy
Suite 401
Selma, AL 36701-6750 - Phone
- (334) 875-7173
- Fax
- (334) 875-7925
- NPI assigned
- Oct 12, 2016
- Last updated
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-100214 | AL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 1-100214 | AL | |
| Primary Care Nurse Practitioner | 363LP2300X | 1-100214 | AL | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1-100214 | AL | |
| Registered Nurse | 163W00000X | 1-100214 | AL |
Addresses
Primary practice location
1023 Medical Center Pkwy
Suite 401
Selma, AL 36701-6750
Mailing address
1023 Medical Center Pkwy
Suite 401
Selma, AL 36701-6750
Phone (334) 875-7173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
108 Broad St
Selma, AL 36701-4639
Phone (334) 526-2887
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-100214 | AL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vaughan Physician Practices LLC | Current | Accepting new patients | |
| Queen City Women's Health | Adult Health | Current | Accepting new patients |
| Vaughan Physician Practices LLC | Current | Accepting new patients | |
| Vaughan Physician Practices, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
1023 Medical Center Pkwy
Ste 305
Selma, AL 36701
Phone (334) 801-9952
1023 Medical Center Pkwy
Ste 401
Selma, AL 36701
Phone (334) 875-7173
108 Broad St
Selma, AL 36701
Phone (334) 505-0873
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- courtney.carter.1@26833.direct.athenahealth.com
- https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Nurse Practitioner
- Selma, AL
- NPI 1316668403
Adult Health
-
dba West Central Alabama Orthopedics
- Orthopaedic Surgery Physician
- Selma, AL
- NPI 1467599621
-
dba Vaughan OB Gyn Associates
- Obstetrics & Gynecology Physician
- Selma, AL
- NPI 1063908325
-
dba Vaughan Surgical Specialty Associates
- Surgery Physician
- Selma, AL
- NPI 1407277460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Vaughan Regional Medical Center
- Rural Acute Care Hospital
- Selma, AL
- NPI 1871655993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1407306624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 MEDICAL CENTER PKWY",
"address_2": "SUITE 401",
"city": "SELMA",
"state": "AL",
"postal_code": "367016750",
"telephone_number": "334-875-7173",
"fax_number": "334-875-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 MEDICAL CENTER PKWY",
"address_2": "SUITE 401",
"city": "SELMA",
"state": "AL",
"postal_code": "367016750",
"telephone_number": "334-875-7173",
"fax_number": "334-875-7925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "COURTNEY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AL",
"license": "1-100214",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AL",
"license": "1-100214",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AL",
"license": "1-100214",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "AL",
"license": "1-100214",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-100214",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selma, AL
- Cardiac Institute of South Alabama, LLC
- Cardiovascular Institue of Selma, LLC
- Amy Collins Carmichael, MS, ALC
- Carter Drug Co Inc (Carter Drugs)
- Carter Drug Co.
- Center for Womens Health and Reproductive Medicine LLC
- Central Alabama Audiology, LLC
- Central Alabama Women's Clinic
- Charles L. Lett, M D P C
- Children's Dentistry of Central Alabama, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.