LIFESOURCE PRIME INC
NPI 1598533275
Family Medicine in Wilmington, NC
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
Specialties & Licenses
Group Practice 1
Accepted 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 Prime Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
46Medicare enrollment records show 46 clinicians reassign Medicare billing to Lifesource Prime Inc, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 46Source: 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 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.
Is Lifesource Prime Inc enrolled in Medicare?
Yes. Lifesource Prime Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lifesource Prime Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 5 Medicare specialties reassign their Medicare billing to Lifesource Prime Inc. 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 Nurse Practitioner (38), Family Practice (4) and Psychiatry (2). Of these, 11 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lifesource Prime Inc accept?
Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Lifesource Prime Inc · NPI 1598533275
Family Medicine organization in Wilmington, North Carolina. Organization record, active in the CMS NPPES registry since December 13, 2023.
## Identity
- **NPI:** 1598533275 (Entity type: Organization)
- **Enumerated:** December 13, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Peggy Baddour, CEO
## Practice location
- **Address:** 3205 RANDALL PKWY STE 105, Wilmington, NC 28403-2565
- **Phone:** (910) 742-9243 · **Fax:** (888) 746-1787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 46 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (4), Psychiatry (2); 11 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1598533275/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1598533275) · Data from the CMS NPPES public registry.