Individual provider Active NPI

Christine Anne Lurie, DO

  • Gynecology Physician
  • Moultrie, GA
National Provider Identifier
1073005567
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
97039 Issued in GA
Practice address
3 Sweet Bay CT
Moultrie, GA 31768-6784
Phone
(229) 985-2198
NPI assigned
May 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 97039 GA Primary
Obstetrics Physician 207VX0000X 97039 GA

Addresses

Primary practice location

3 Sweet Bay CT
Moultrie, GA 31768-6784

Mailing address

PO Box 2876
Moultrie, GA 31776-2876
Phone (229) 985-2198

Other practice location 1

139 E Broad
Norman Park, GA 31771-5085
Phone (229) 985-2198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010001079 GA Practitioner - Obstetrics/Gynecology 1951649466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colquitt Regional OB/GYN, LLCGroup PAC ID 3577726470, 6 clinicians

Practice addresses (Care Compare)

3 Sweet Bay CT
Moultrie, GA 31768-6784
Phone (229) 985-2198

Hospital & facility affiliations

  • Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
97039GAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colquitt Regional Pathology, LLC Current Accepting new patients
Colquitt Regional Medical Center CurrentSince Apr 20, 2024 Accepting new patients
Colquitt Regional Medical Center CurrentSince Apr 20, 2024 Accepting new patients
Colquitt Regional OB/GYN, LLC CurrentSince Sep 1, 2023 Accepting new patients
Norman Park Family Medicine Clinic LLC PastSince May 1, 2020 Accepting new patients
Colquitt Regional Surgery, LLC PastSince Sep 1, 2023 Accepting new patients

Locations

3 Sweet Bay Ct
Moultrie, GA 31768
Phone (229) 891-2022

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1073005567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2876",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762876",
            "telephone_number": "229-985-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SWEET BAY CT",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686784",
            "telephone_number": "229-985-2198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 E Broad",
            "address_purpose": "LOCATION",
            "city": "Norman Park",
            "state": "GA",
            "postal_code": "317715085",
            "country_code": "US",
            "telephone_number": "229-985-2198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LURIE",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "97039",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "97039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moultrie, GA

Sources for this page

Verify at the official NPI Registry.