Cory Allen Luckie (NPI# 1457708166, PAC ID# 5890071914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1457708166 |
| PAC ID by PECOS | 5890071914 |
| Professional Enrollment ID | I20180927003316 |
| Full Name | Cory Allen Luckie |
| Organization Legal Name | PHYSICAL EXPRESS |
| Address |
4081 Hwy 14 Millbrook AL 36054-1994 |
| Phone Number | 3342853222 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476531039 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010108 | PRATTVILLE BAPTIST HOSPITAL |
| 010045 | FAYETTE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4412 Hogan Rd, Deatsville, AL 36022-3400 | 3345144851 | IVY CREEK OF ELMORE LLC |
| 1653 Temple Ave N, Fayette, AL 35555-1314 | 2059321280 | FAYETTE MEDICAL CENTER |
| 1716 Temple N Ave, Suite 1 and 2, Fayette, AL 35555-1309 | 2059325966 | FAYETTE MEDICAL CENTER |
| 4081 Hwy 14, Millbrook, AL 36054-1994 | 3342853222 | PHYSICAL EXPRESS |
| Organization Legal Name | PHYSICAL EXPRESS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bishoy T Samuel | Family Practice | Physical Express | 2175 Hwy 31 N, Deatsville, AL 36022 |
| James Andrew Atkins | Nurse Practitioner | Physical Express | 4081 Hwy 14, Millbrook, AL 36054-1994 |
| Jennifer Michelle Hobbs | Nurse Practitioner | Physical Express | 4081 Hwy 14, Millbrook, AL 36054-1994 |
| Kristopher N Jones | Family Medicine | Physical Express | 4081 Hwy 14, Millbrook, AL 36054-1994 |
| Street Address |
4081 HWY 14 |
| City | MILLBROOK |
| State | AL |
| Zip | 36054-1994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Andrew Atkins | Nurse Practitioner | Physical Express | 4081 Hwy 14, Millbrook, AL 36054-1994 |
| Jennifer Michelle Hobbs | Nurse Practitioner | Physical Express | 4081 Hwy 14, Millbrook, AL 36054-1994 |
| Kristopher N Jones | Family Medicine | Physical Express | 4081 Hwy 14, Millbrook, AL 36054-1994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Long | Nurse Practitioner | Rural Urgent Care LLC | 1401 Al Hwy 14, Millbrook, AL 36054 |
| Callie Edge Best | Nurse Practitioner | Rural Urgent Care LLC | 1401 Al Hwy 14, Millbrook, AL 36054 |
| Yalonda Evette Ferguson | Nurse Practitioner | Rural Urgent Care LLC | 1401 Al Hwy 14, Millbrook, AL 36054 |
| Shannon Box | Nurse Practitioner | Rural Urgent Care LLC | 1401 Al Hwy 14, Millbrook, AL 36054 |
| Jana Mallder | Nurse Practitioner | Rural Urgent Care LLC | 1401 Al Hwy 14, Millbrook, AL 36054 |
| Lauren Prance | Nurse Practitioner | Rural Urgent Care LLC | 1401 Al Hwy 14, Millbrook, AL 36054 |
| Amy H Howell | Optometry | Millbrook Eye Care | 3331 Hwy 14, Millbrook, AL 36054-1838 |
| Denise M Show | Optometry | 758 Monument Dr, Millbrook, AL 36054-1849 | |
| Jeffrey D Pasley | Chiropractic | 3363 Hwy 14, Millbrook, AL 36054-2424 | |
| Marla H Wohlman | Family Medicine | 3351 Main St, Millbrook, AL 36054-3218 | |
| Find all physicians in zip 36054 | |||
| City | MILLBROOK |
| Zip Code | 36054 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MILLBROOK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Cory Allen Luckie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.