1. Home
  2. Directory
  3. Kentucky
  4. Pikeville
  5. Social Worker
  6. NPI Profile

LIFESOURCE OF NORTH CAROLINA
NPI 1538728183
Social Worker - Clinical in Pikeville, KY

Active since June 07, 2019
200 NURSING HOME LN, PIKEVILLE, KY 41501(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: October 18, 2026.

Record update history: Mar 25, 2021, Apr 14, 2020, Jan 27, 2020 and 1 more (4 updates tracked since 2019).

About Lifesource Of North Carolina NPPES

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

LIFESOURCE OF NORTH CAROLINA (NPI 1538728183) is a healthcare organization registered as a clinical in Pikeville, Kentucky and active in the NPI registry since June 2019. The organization lists Peggy Baddour, President, as its authorized official.

NPPES Registry Identity

NPI1538728183
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFESOURCE OF NORTH CAROLINA
Location Address200 NURSING HOME LNPikeville, KY 41501-6896
Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 535-1211
Phone(910) 742-9243
Fax(888) 746-1787
Organization SubpartNo
Authorized OfficialPeggy BaddourPresident · (910) 777-9165
Enumeration DateJune 7, 2019
Last NPPES UpdateMarch 25, 20214 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1538728183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
200 NURSING HOME LN, Pikeville, KY 41501
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifesource Of North Carolina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Lifesource Of North Carolina, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker4
Nurse Practitioner4
Psychiatry2

Clinicians, nearest first (10)

Charlene Cochran, LCSW
Clinical Social Worker
NPI 1881960953
390 PARK AVE
Hazard, KY 41701
(910) 742-9243
✔ PECOS38 mi
Crystal Coleman, APRN
Nurse Practitioner
NPI 1427522028
390 PARK AVE
Hazard, KY 41701
(910) 742-9243
✔ PECOS✔ Accepts Medicare38 mi
Angela Ellison, LCSW
Clinical Social Worker
NPI 1871134999
1527 VALLEY DR
Flatwoods, KY 41139
(606) 465-3245
✔ PECOS✔ Accepts Medicare79 mi
Natashia Little, APRN, AGNP-C
Nurse Practitioner
NPI 1760858799
9850 VON ALLMEN CT STE 201
Louisville, KY 40241
(866) 849-0692
✔ PECOS✔ Accepts Medicare178 mi
Sarah Parsons, D.O.
Psychiatry
NPI 1124041686
4010 DUPONT CIR STE 567
Louisville, KY 40207
(502) 509-5007
✔ PECOS✔ Accepts Medicare179 mi
Steven Shelton, MD
Psychiatry
NPI 1215934310
1507 SPRING STREET
Jeffersonville, IN 47130
(407) 347-4536
✔ PECOS✔ Accepts Medicare187 mi
Harold Bedu-Addo
Nurse Practitioner
NPI 1922620624
1546 BERRY BLVD STE B
Louisville, KY 40215
(502) 823-2579
✔ PECOS✔ Accepts Medicare187 mi
Susan Greene, APRN-BC
Nurse Practitioner
NPI 1982631040
901 BOMBAY LN
Roswell, GA 30076
(770) 664-1920
✔ PECOS✔ Accepts Medicare251 mi
Kelley Fulkerson, LCSW
Clinical Social Worker
NPI 1578942140
2817 VEACH RD
Owensboro, KY 42303
(270) 240-5312
✔ PECOS✔ Accepts Medicare252 mi
Willie Campbell, LCSW
Clinical Social Worker
NPI 1417217092
1345 REDMOND CIR NW
Rome, GA 30165
(910) 742-9243
✔ PECOS✔ Accepts Medicare261 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1538728183. It was assigned to this organization in the NPPES registry on June 7, 2019.

Where is Lifesource Of North Carolina located?

Lifesource Of North Carolina is located at 200 Nursing Home Ln, Pikeville, KY 41501. The listed phone number is (910) 742-9243.

What is Lifesource Of North Carolina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lifesource Of North Carolina enrolled in Medicare?

Yes. Lifesource Of North Carolina is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifesource Of North Carolina?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Lifesource Of North Carolina. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (4), Nurse Practitioner (4) and Psychiatry (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifesource Of North Carolina accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lifesource Of North Carolina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.