LIFESOURCE OF ALABAMA
NPI 1821535428
General Practice in Irondale, AL

Active since January 21, 2017
1424 MONTCLAIR RD, IRONDALE, AL 35210(910) 742-9243 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2021, Apr 23, 2018, Apr 18, 2017 and 1 more (4 updates tracked since 2017).

About Lifesource Of Alabama NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESOURCE OF ALABAMA (NPI 1821535428) is a healthcare organization registered as a general practice in Irondale, Alabama and active in the NPI registry since January 2017. The organization lists Peggy Baddour, President/owner, as its authorized official.

NPPES Registry Identity

NPI1821535428
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIFESOURCE OF NORTH CAROLINA
Location Address1424 MONTCLAIR RDIrondale, AL 35210-2208
Mailing AddressPo Box 538622Atlanta, GA 30353-8622
Organization SubpartYes
Authorized OfficialPeggy BaddourPresident/owner · (910) 777-9165
Enumeration DateJanuary 21, 2017
Last NPPES UpdateMarch 26, 20214 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
✔ NPI 1821535428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1424 MONTCLAIR RD, Irondale, AL 35210

Other Names 1

Doing Business AsLifesource Of Alabama

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 Alabama is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lifesource Of Alabama, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1699720284
1050 CROWN POINTE PKWY SUITE 450
Atlanta, GA 30338
(866) 325-5434
✔ PECOS✔ Accepts Medicare140 mi
Nurse Practitioner
NPI 1366908287
28740 US HIGHWAY 98 STE 9
Daphne, AL 36526
(251) 270-2911
✔ PECOS✔ Accepts Medicare210 mi
Nurse Practitioner
NPI 1396214060
234 E 149TH ST
Bronx, NY 10451
(718) 579-5006
✔ PECOS✔ Accepts Medicare866 mi

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 1821535428. It was assigned to this organization in the NPPES registry on January 21, 2017. The provider is doing business as Lifesource Of Alabama.

Where is Lifesource Of North Carolina located?

Lifesource Of North Carolina is located at 1424 Montclair Rd, Irondale, AL 35210. The listed phone number is (910) 742-9243.

What is Lifesource Of North Carolina's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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), 3 clinicians reassign their Medicare billing to Lifesource Of North Carolina, in Clinical Social Worker and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lifesource Of North Carolina accept?

Health plans from Cigna 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 March 26, 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.