LIFESOURCE OF NORTH CAROLINA
NPI 1811286156
Internal Medicine in Wilmington, NC
About Lifesource Of North Carolina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESOURCE OF NORTH CAROLINA (NPI 1811286156) is a healthcare organization registered as an internal medicine in Wilmington, North Carolina and active in the NPI registry since April 2011. The organization maintains a secondary practice location in Southport and lists Peggy L Baddour, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Secondary Practice Location 1
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
92Medicare enrollment records show 92 clinicians reassign Medicare billing to Lifesource Of North Carolina, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 92Source: 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 1811286156. It was assigned to this organization in the NPPES registry on April 6, 2011.
Where is Lifesource Of North Carolina located?
Lifesource Of North Carolina is located at 3205 Randall Pkwy Suite 105, Wilmington, NC 28403. The listed phone number is (910) 742-9243.
What is Lifesource Of North Carolina's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
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), 92 clinicians in 8 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 (41), Clinical Social Worker (18) and Clinical Psychologist (12). Of these, 18 practice at this address and 29 within 10 miles. 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 from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer 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 December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lifesource Of North Carolina · NPI 1811286156
Internal Medicine organization in Wilmington, North Carolina. Organization record, active in the CMS NPPES registry since April 6, 2011.
## Identity
- **NPI:** 1811286156 (Entity type: Organization)
- **Enumerated:** April 6, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Peggy Baddour, PRESIDENT/OWNER
## Practice location
- **Address:** 3205 RANDALL PKWY, SUITE 105, Wilmington, NC 28403
- **Phone:** (910) 742-9243 · **Fax:** (888) 746-1787
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 92 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (41), Clinical Social Worker (18), Clinical Psychologist (12); 18 practice at this address and 29 within 10 miles; [full list](https://npiprofile.com/npi/1811286156/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811286156) · Data from the CMS NPPES public registry.