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QUEEN CITY WOMEN'S HEALTH
NPI 1316668403
Nurse Practitioner - Obstetrics & Gynecology in Selma, AL

Active since September 07, 2022CLIA 01D2155392 · Waiver

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Queen City Women's Health NPPES

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

QUEEN CITY WOMEN'S HEALTH (NPI 1316668403) is a healthcare organization registered as an obstetrics & gynecology in Selma, Alabama and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 27, 2028 and lists Courtney Camille Carter, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1316668403
Entity TypeOrganization
Primary Taxonomy363LX0001X
Legal Business NameQUEEN CITY WOMEN'S HEALTH
Location Address108 BROAD STSelma, AL 36701-4639
Mailing Address207 Crestwood DrSelma, AL 36701-6044 · (334) 505-0873
Phone(334) 505-0873
Organization SubpartNo
Authorized OfficialCourtney Camille CarterNurse Practitioner/owner · (334) 505-0873
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1316668403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
108 BROAD ST, Selma, AL 36701
Open in Google Maps ↗

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Queen City Women's Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Queen City Women's Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Courtney Carter, CRNP
Nurse Practitioner
NPI 1407306624
1023 MEDICAL CENTER PKWY SUITE 401
Selma, AL 36701
(334) 875-7173
✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2155392

Queen City Women's Health · Selma, AL
Active · expires Sep 27, 2028
CLIA Number01D2155392
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 28, 2026
Certificate Expiration DateSeptember 27, 2028
Laboratory DirectorAbreeotta J. Williams
Laboratory Phone(334) 526-4443
Laboratory LocationQueen City Women's Health108 Broad Street, Selma, AL 36701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queen City Women's Health's NPI number?

The NPI number for Queen City Women's Health is 1316668403. It was assigned to this organization in the NPPES registry on September 7, 2022.

Where is Queen City Women's Health located?

Queen City Women's Health is located at 108 Broad St, Selma, AL 36701. The listed phone number is (334) 505-0873.

What is Queen City Women's Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Queen City Women's Health enrolled in Medicare?

Yes. Queen City Women's Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Queen City Women's Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Queen City Women's Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Queen City Women's Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2155392) is associated with this NPI, valid through September 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Queen City Women's Health was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.