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LIFESOURCE PRIME INC
NPI 1598533275
Family Medicine in Wilmington, NC

Active since December 13, 2023
3205 RANDALL PKWY STE 105, WILMINGTON, NC 28403(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2025, Dec 13, 2023 (2 updates tracked since 2023).

About Lifesource Prime Inc NPPES

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

LIFESOURCE PRIME INC (NPI 1598533275) is a healthcare organization registered as a family medicine in Wilmington, North Carolina and active in the NPI registry since December 2023. The organization lists Peggy Baddour, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598533275
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFESOURCE PRIME INC
Location Address3205 RANDALL PKWY STE 105Wilmington, NC 28403-2565
Mailing AddressPo Box 740343Atlanta, GA 30374-0343 · (910) 338-2882 · Fax (888) 746-1787
Phone(910) 742-9243
Fax(888) 746-1787
Organization SubpartNo
Authorized OfficialPeggy BaddourCeo · (910) 742-9243
Enumeration DateDecember 13, 2023
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1598533275 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.
3205 RANDALL PKWY STE 105, Wilmington, NC 28403
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 20

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

FELIX MANUEL CONTRERAS RN
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
ERICA ROCHELLE ALFORD-GADDY LCSW
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
KIMBERLY LEE WHITFIELD LCMHC
Counselor (Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
WHITNEY NICOLE GREGG
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
MR. JARED DANIEL EDMONDS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
MARIANNE YARNALL
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
JASON DARDEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
DEBRA DENISE ARTHUR TURNER AGNP-C
Nurse Practitioner (Gerontology)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243

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 Prime Inc's NPI number?

The NPI number for Lifesource Prime Inc is 1598533275. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Lifesource Prime Inc located?

Lifesource Prime Inc is located at 3205 Randall Pkwy Ste 105, Wilmington, NC 28403. The listed phone number is (910) 742-9243.

What is Lifesource Prime Inc's specialty?

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

What insurance does Lifesource Prime Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Lifesource Prime Inc 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 Prime Inc was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.