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

NPI Status: Active since February 15, 2018

Contact Information

1208 E PERSHING BLVD
CHEYENNE, WY
ZIP 82001
Phone: (910) 742-9243
Fax: (888) 746-1787

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  • Organization
  • General Practice
  • Accepts Insurance

About LIFESOURCE OF NORTH CAROLINA

This page provides the complete NPI Profile along with additional information for Lifesource Of North Carolina, a primary care provider established in Cheyenne, Wyoming operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1386144418 assigned on February 2018. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Lifesource Of North Carolina operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Peggy Baddour (President/owner)

NPI
1386144418
Provider Name
LIFESOURCE OF NORTH CAROLINA
Entity Type
Organization
Location Address
1208 E PERSHING BLVD CHEYENNE, WY 82001
Location Phone
(910) 742-9243
Location Fax
(888) 746-1787
Mailing Address
PO BOX 538622 ATLANTA, GA 30353
Mailing Phone
(910) 742-9243
Mailing Fax
(888) 746-1787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2018
Last Update Date
03-25-2021
Code Navigator

A primary care provider (PCP) like Lifesource Of North Carolina sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
3207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
42084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
5363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
6363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PEGGY BADDOUR

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(910) 777-9165

Reviews for LIFESOURCE OF NORTH CAROLINA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386144418
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316624842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 2 + 4 + 8 + 4 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1386144418 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

CHOICE COUNSELING

Counselor

1208 E PERSHING BLVD
CHEYENNE, WY
ZIP 82001

(307) 220-3902

ASCENSION HEALTH NETWORK, LLC

Clinic/Center

(Rehabilitation, Substance Use Disorder)

1208 E PERSHING BLVD
CHEYENNE, WY
ZIP 82001

(307) 287-1184

SERENITY MENTAL HEALTH BILLING

Marriage & Family Therapist

1208 E PERSHING BLVD
CHEYENNE, WY
ZIP 82001

(307) 509-9809

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386144418, enumerated as an "organization" on February 15, 2018.

The provider is located at 1208 E PERSHING BLVD CHEYENNE, WY 82001 and the phone number is (910) 742-9243.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Cigna Healthcare. Please consult your insurance carrier or call the provider to verify.