Individual provider Active NPI

Scott Nord Lurie, M.D.

  • Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1417967803
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32948 Issued in NC
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
32948NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Sources for this page

Verify at the official NPI Registry.