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LIFESOURCE OF NORTH CAROLINA
NPI 1386144418
General Practice in Cheyenne, WY

Active since February 15, 2018
1208 E PERSHING BLVD, CHEYENNE, WY 82001(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2021, Feb 15, 2018 (2 updates tracked since 2018).

About Lifesource Of North Carolina NPPES

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

LIFESOURCE OF NORTH CAROLINA (NPI 1386144418) is a healthcare organization registered as a general practice in Cheyenne, Wyoming and active in the NPI registry since February 2018. The organization lists Peggy Baddour, President/owner, as its authorized official.

NPPES Registry Identity

NPI1386144418
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIFESOURCE OF NORTH CAROLINA
Location Address1208 E PERSHING BLVDCheyenne, WY 82001-3230
Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 742-9243 · Fax (888) 746-1787
Phone(910) 742-9243
Fax(888) 746-1787
Organization SubpartNo
Authorized OfficialPeggy BaddourPresident/owner · (910) 777-9165
Enumeration DateFebruary 15, 2018
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1386144418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1208 E PERSHING BLVD, Cheyenne, WY 82001
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASCENSION HEALTH NETWORK, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1208 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 287-1184
CHOICE COUNSELING
Counselor
1208 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 220-3902
SERENITY MENTAL HEALTH BILLING
Marriage & Family Therapist
1208 E PERSHING BLVD
CHEYENNE, WY 82001
Laramie County (307) 509-9809

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 Lifesource Of North Carolina's NPI number?

The NPI number for Lifesource Of North Carolina is 1386144418. It was assigned to this organization in the NPPES registry on February 15, 2018.

Where is Lifesource Of North Carolina located?

Lifesource Of North Carolina is located at 1208 E Pershing Blvd, Cheyenne, WY 82001. The listed phone number is (910) 742-9243.

What is Lifesource Of North Carolina's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Lifesource Of North Carolina was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.