Active NPI
Scott Nord Lurie, M.D.
- Psychiatry Physician
- Charlotte, NC
National Provider Identifier
1417967803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 32948
- Practice address
- 1808 E 7TH St
Charlotte, NC 28204-2416 - Phone
- (704) 376-6577
- Fax
- (704) 335-8941
- NPI assigned
- Aug 8, 2006
- Last updated
- Jun 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 32948 | NC | Primary |
Addresses
Primary practice location
1808 E 7TH St
Charlotte, NC 28204-2416
Mailing address
1808 E 7TH St
Charlotte, NC 28204-2416
Phone (704) 376-6577
Other practice location 1
1132 Greenwood Clfs
Charlotte, NC 28204-2821
Phone (704) 376-6577 ext. 11
Other practice location 2
4900 Park Rd
Charlotte, NC 28209-3506
Phone (704) 376-6577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 22, 2015 through Apr 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32948 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mecklenburg County | Past | Accepting new patients | |
| Mecklenburg Psychological Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Mecklenburg County Health Department - CAP Services
- Case Management Agency
- Charlotte, NC
- NPI 1063554517
-
- Clinical Psychologist
- Charlotte, NC
- NPI 1952472540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1417967803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042416",
"telephone_number": "704-376-6577",
"fax_number": "704-335-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042416",
"telephone_number": "704-376-6577",
"fax_number": "704-335-8941"
}
],
"practiceLocations": [
{
"address_1": "1132 Greenwood Clfs",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042821",
"country_code": "US",
"telephone_number": "704-376-6577 x11",
"fax_number": "704-335-8941",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4900 Park Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282093506",
"country_code": "US",
"telephone_number": "704-376-6577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LURIE",
"first_name": "SCOTT",
"middle_name": "NORD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "32948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Sarah Virginia Lupka, MA, PLPC, LCMHC-A
- Camilla F Luppi, LCSWA
- Emily Anne Lupsor, MSW, LCSW
- Laura L. Lupton, MD
- Ryan Christopher Luquette
- Dorothe Lusty
- Lutheran Family Services in the Carolinas
- Lutheran Family Services in the Carolinas
- Lutheran Family Services in the Carolinas
- Anne Charlotte Lutin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.