LIFESOURCE PRIME INC
NPI 1598533275
Family Medicine in Wilmington, NC

NPI Status: Active since December 13, 2023

Contact Information

3205 RANDALL PKWY STE 105
WILMINGTON, NC
ZIP 28403
Phone: (910) 742-9243
Fax: (888) 746-1787

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  • Organization
  • Family Medicine
  • Accepts Insurance

About LIFESOURCE PRIME INC

This page provides the complete NPI Profile along with additional information for Lifesource Prime Inc, a primary care provider established in Wilmington, North Carolina operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1598533275 assigned on December 2023. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Lifesource Prime Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Peggy Baddour (Ceo)

NPI
1598533275
Provider Name
LIFESOURCE PRIME INC
Entity Type
Organization
Location Address
3205 RANDALL PKWY STE 105 WILMINGTON, NC 28403
Location Phone
(910) 742-9243
Location Fax
(888) 746-1787
Mailing Address
PO BOX 740343 ATLANTA, GA 30374
Mailing Phone
(910) 338-2882
Mailing Fax
(888) 746-1787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2023
Last Update Date
10-28-2025
Code Navigator

A primary care provider (PCP) like Lifesource Prime Inc 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze with Atrium Health - HMO
  • Everyday Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Focused Silver with Atrium Health - HMO
  • Focused Silver with Atrium Health + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze with Atrium Health - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS

*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
CEO
Authorized Official Phone
(910) 742-9243

Reviews for LIFESOURCE PRIME INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1598533275, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 5 → 10 → 1 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 8 + 8 + 1 + 0 + 3 + 6 + 2 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1598533275.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Nurse Practitioner (Family)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Nurse Practitioner (Gerontology)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598533275, enumerated as an "organization" on December 13, 2023.

The provider is located at 3205 RANDALL PKWY STE 105 WILMINGTON, NC 28403 and the phone number is (910) 742-9243.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.