LIFESOURCE OF NORTH CAROLINA
NPI 1730648288
Psychologist in Milton, FL

Active since March 14, 2019
5530 NORTHROP RD, MILTON, FL 32570(910) 742-9243 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 25, 2021, Mar 14, 2019 (2 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 1730648288) is a healthcare organization registered as a psychologist in Milton, Florida and active in the NPI registry since March 2019. The organization lists Peggy Baddour, President, as its authorized official.

NPPES Registry Identity

NPI1730648288
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLIFESOURCE OF NORTH CAROLINA
Location Address5530 NORTHROP RDMilton, FL 32570-8701
Mailing AddressPo Box 538622Atlanta, GA 30353-8622 · (910) 794-4521
Organization SubpartNo
Authorized OfficialPeggy BaddourPresident · (910) 777-9165
Enumeration DateMarch 14, 2019
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1730648288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5530 NORTHROP RD, Milton, FL 32570

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

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

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Lifesource Of North Carolina, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner11
Mental Health Counselor6
Clinical Social Worker4
Clinical Psychologist2
Psychiatry2

Nearest to this location (20)

See all 25
Nurse Practitioner
NPI 1245849645
5530 NORTHROP RD
Milton, FL 32570
(910) 742-9243
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366908287
28740 US HIGHWAY 98 STE 9
Daphne, AL 36526
(251) 270-2911
✔ PECOS✔ Accepts Medicare50 mi
Mental Health Counselor
NPI 1568051761
2811 INVERNESS PKWY
Columbus, GA 31909
(706) 573-7899
✔ PECOS✔ Accepts Medicare182 mi
Mental Health Counselor
NPI 1316603418
555 N BYRON BUTLER PKWY
Perry, FL 32347
(850) 329-5776
✔ PECOS✔ Accepts Medicare210 mi
Clinical Social Worker
NPI 1417217092
1345 REDMOND CIR NW
Rome, GA 30165
(910) 742-9243
✔ PECOS✔ Accepts Medicare274 mi
Nurse Practitioner
NPI 1023701307
1345 REDMOND CIR NW
Rome, GA 30165
(910) 742-9243
✔ PECOS✔ Accepts Medicare274 mi
Clinical Psychologist
NPI 1669801551
1345 REDMOND CIR NW
Rome, GA 30165
(910) 742-9243
✔ PECOS✔ Accepts Medicare274 mi
Nurse Practitioner
NPI 1740381458
5470 MERIDIAN MARKS RD
Atlanta, GA 30342
(615) 673-6737
✔ PECOS275 mi
Mental Health Counselor
NPI 1619699220
13651 VANDERBILT RD
Odessa, FL 33556
(727) 222-9954
✔ PECOS✔ Accepts Medicare318 mi
Mental Health Counselor
NPI 1598190746
931 CASSAT AVE
Jacksonville, FL 32205
(904) 233-1019
✔ PECOS✔ Accepts Medicare319 mi
Psychiatry
NPI 1811158082
716 SEMINOLE BLVD
Largo, FL 33770
(727) 238-3241
✔ PECOS✔ Accepts Medicare319 mi
Mental Health Counselor
NPI 1124161153
1506 CANNONADE CT
Lutz, FL 33549
(813) 714-9792
✔ PECOS✔ Accepts Medicare327 mi
Nurse Practitioner
NPI 1447863345
7901 4TH ST N
St Petersburg, FL 33702
(913) 338-5065
✔ PECOS✔ Accepts Medicare329 mi
Nurse Practitioner
NPI 1780922500
8108 N NEBRASKA AVE
Tampa, FL 33604
(813) 712-1930
✔ PECOS✔ Accepts Medicare331 mi
Clinical Social Worker
NPI 1467112524
208 URBANA OAKS WAY
Brunswick, GA 31520
(601) 325-0299
✔ PECOS✔ Accepts Medicare333 mi
Nurse Practitioner
NPI 1194494351
5112 SUMMER BROOKE LN
Lakeland, FL 33811
(863) 712-2041
✔ PECOS✔ Accepts Medicare357 mi
Psychiatry
NPI 1225491087
1155 W SR 434 STE 115
Longwood, FL 32750
(305) 482-1494
✔ PECOS368 mi
Clinical Psychologist
NPI 1063787638
128 WHITE ASH DR EAST
Asheville, NC 28803
(954) 296-5692
✔ PECOS✔ Accepts Medicare425 mi
Clinical Social Worker
NPI 1154747137
9634 BOCA GARDENS CIR N APT D
Boca Raton, FL 33496
(954) 803-8360
✔ PECOS✔ Accepts Medicare509 mi
Clinical Social Worker
NPI 1942650791
3205 RANDALL PKWY STE 105
Wilmington, NC 28403
(910) 742-9243
✔ PECOS✔ Accepts Medicare590 mi
See all 25 clinicians

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 1730648288. It was assigned to this organization in the NPPES registry on March 14, 2019.

Where is Lifesource Of North Carolina located?

Lifesource Of North Carolina is located at 5530 Northrop Rd, Milton, FL 32570. The listed phone number is (910) 742-9243.

What is Lifesource Of North Carolina's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

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), 25 clinicians in 5 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 Nurse Practitioner (11), Mental Health Counselor (6) and Clinical Social Worker (4). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifesource Of North Carolina accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna Healthcare, 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.