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LIFE SOURCE, PC
NPI 1124460985
Family Medicine in Holly Springs, NC

Active since July 22, 2013
1108 KENTWORTH DR, SUITE 704, HOLLY SPRINGS, NC 27540(919) 552-9952(919) 552-3062 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Source, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SOURCE, PC (NPI 1124460985) is a healthcare organization registered as a family medicine in Holly Springs, North Carolina and active in the NPI registry since July 2013. The organization lists Feyisayo Adeyina, Owner, as its authorized official.

NPPES Registry Identity

NPI1124460985
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFE SOURCE, PC
Location Address1108 KENTWORTH DR, SUITE 704Holly Springs, NC 27540-3325
Mailing Address1108 Kentworth Dr, Suite 704Holly Springs, NC 27540-3325 · (919) 552-9952 · Fax (919) 552-3062
Phone(919) 552-9952
Fax(919) 552-3062
Organization SubpartNo
Authorized OfficialFeyisayo AdeyinaOwner · (919) 552-9952
Enumeration DateJuly 22, 2013
✔ NPI 1124460985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1108 KENTWORTH DR, Holly Springs, NC 27540
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Source, PC's NPI number?

The NPI number for Life Source, PC is 1124460985. It was assigned to this organization in the NPPES registry on July 22, 2013.

Where is Life Source, PC located?

Life Source, PC is located at 1108 Kentworth Dr Suite 704, Holly Springs, NC 27540. The listed phone number is (919) 552-9952.

What is Life Source, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Life Source, PC was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.