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LIFESOURCE OF NORTH CAROLINA
NPI 1811286156
Internal Medicine in Wilmington, NC

Active since April 06, 2011
3205 RANDALL PKWY, SUITE 105, WILMINGTON, NC 28403(910) 742-9243(888) 746-1787 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2021, Mar 26, 2021, Jul 9, 2018 and 2 more (5 updates tracked since 2015).

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

NPI1811286156
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFESOURCE OF NORTH CAROLINA
Location Address3205 RANDALL PKWY, SUITE 105Wilmington, NC 28403
Mailing AddressPo Box 538622, Lifesource Of North CarolinaAtlanta, GA 30353-8622 · (910) 742-9243 · Fax (888) 746-1787
Phone(910) 742-9243
Fax(888) 746-1787
Organization SubpartNo
Authorized OfficialPeggy L BaddourPresident/owner · (910) 777-9165
Enumeration DateApril 6, 2011
Last NPPES UpdateDecember 29, 20215 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1811286156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3205 RANDALL PKWY, Wilmington, NC 28403
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Secondary Practice Location 1

Location 14002 Executive Park Blvd Ste 300Southport, NC 28461-9080 · Phone (910) 742-9243 · Fax (888) 746-1787

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 Blue Cross and Blue Shield of NC, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 17

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

WILMINGTON NC HOMECARE LLC
In Home Supportive Care
3205 RANDALL PKWY, STE 127
WILMINGTON, NC 28403
New Hanover County (910) 777-5926
MS. LINDA D CAPPIELLO NURSE PRACTITIONER
Nurse Practitioner
3205 RANDALL PKWY
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
ARLENE GEORGIA GALLAN PHD INC
Psychologist (Clinical)
3205 RANDALL PKWY, SUITE 126
WILMINGTON, NC 28403
New Hanover County (910) 815-3535
CIRCLE OF COURAGE OF BRUNSWICK CO., LLC
Residential Treatment Facility, Emotionally Disturbed Children
3205 RANDALL PKWY, SUITE 207
WILMINGTON, NC 28403
New Hanover County (910) 338-0001
DR. KATHLEEN ANN TRICKLE PSY.D.
Psychologist
3205 RANDALL PKWY, SUITE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
RIGBY PSYCHOLOGICAL SERVICES PLLC
Psychologist
3205 RANDALL PKWY, SUITE 217
WILMINGTON, NC 28403
New Hanover County (910) 254-4545
KARI ANNE SPENCER
Nurse Practitioner (Family)
3205 RANDALL PKWY
WILMINGTON, NC 28403
New Hanover County (919) 521-0833
MARY BRONWYN LEE PHD
Psychologist
3205 RANDALL PKWY, SUITE 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 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.

What insurance does Lifesource Of North Carolina accept?

Health plans from Blue Cross and Blue Shield of NC and Molina Healthcare 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.