LIFESOURCE OF NORTH CAROLINA
NPI 1730648288
Psychologist in Milton, FL
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
Specialties & Licenses 6
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 Of North Carolina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare 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
Nearest to this location (20)
See all 25Source: 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.