Active NPI
Cory Allen Luckie, MD
- Family Medicine Physician
- Prattville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36124
- Practice address
- 645 McQueen Smith Rd N Ste 309
Prattville, AL 36066-7269 - Phone
- (334) 568-4500
- Fax
- (334) 568-4501
- NPI assigned
- May 23, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36124 | AL | Primary |
Addresses
Primary practice location
645 McQueen Smith Rd N Ste 309
Prattville, AL 36066-7269
Mailing address
301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
645 McQueen Smith Rd N
Suite 309
Prattville, AL 36066-7269
Phone (334) 568-4750
Hospital & facility affiliations
- Centerwell Home Health
- Enhabit Home Health
- Amedisys Home Health of Montgomery
- Prattville Baptist Hospital
- Baptist Medical Center South
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36124 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Family Medicine | Current | Accepting new patients |
| Ivy Creek Specialty Care | Current | Accepting new patients | |
| Ivy Creek of Elmore, LLC | Family Medicine | Current | Accepting new patients |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Ivy Creek of Elmore LLC | Current | Accepting new patients | |
| Physical Express | Family Medicine | Current | Accepting new patients |
| Ivy Creek of Elmore, LLC | Current | Accepting new patients | |
| Ivy Creek Specialty Care | Current | Accepting new patients | |
| The Health Care Authority for Baptist Health an Affiliate of Uabhs | Past | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Family Medicine | Past | Accepting new patients |
Locations
4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851
4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222
301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
645 McQueen Smith Rd N
Ste 309
Prattville, AL 36066
Phone (334) 358-2010
41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309
525 Hospital Dr
Ste B
Wetumpka, AL 36092
Phone (334) 567-5626
500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Rural Health Clinic/Center
- Tallassee, AL
- NPI 1558868323
-
- Emergency Medical Services (Emergency Medicine) Physician
- Wetumpka, AL
- NPI 1396342184
-
- Family Medicine Physician
- Millbrook, AL
- NPI 1043362734
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
- General Acute Care Hospital
- Wetumpka, AL
- NPI 1790093029
-
- Rural Health Clinic/Center
- Deatsville, AL
- NPI 1578060349
-
- Anesthesiology Physician
- Wetumpka, AL
- NPI 1467069070
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
Family Medicine
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Montgomery, AL
- NPI 1174581474
-
- Home Health Agency
- Prattville, AL
- NPI 1134158843
-
- Home Health Agency
- Troy, AL
- NPI 1366904161
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1457708166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BROWN SPRINGS RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177005",
"telephone_number": "334-747-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 MCQUEEN SMITH RD N STE 309",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667269",
"telephone_number": "334-568-4500",
"fax_number": "334-568-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKIE",
"first_name": "CORY",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-23",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "36124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.