LIFESOURCE PRIME INC - NPI 1851143523 - Family Medicine in Clinton, SC

Q: What is Lifesource Prime Inc's NPI number?

The NPI number for Lifesource Prime Inc is 1851143523. It was assigned to this organization in the NPPES registry on April 4, 2024.

Q: What is Lifesource Prime Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Lifesource Prime Inc NPPES

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

LIFESOURCE PRIME INC (NPI 1851143523) is a healthcare organization registered as a family medicine in Clinton, South Carolina and active in the NPI registry since April 2024. The organization lists Peggy Baddour, President/owner, as its authorized official.

NPPES Registry Identity

NPI1851143523

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLIFESOURCE PRIME INC

Location Address939 SPRINGDALE DRClinton, SC 29325-7266

Mailing AddressPo Box 740343Atlanta, GA 30374-0343 · (910) 338-2885 · Fax (864) 626-0412

Phone(910) 742-9243

Fax(888) 746-1787

Organization SubpartNo

Authorized OfficialPeggy BaddourPresident/owner · (910) 742-9243

Enumeration DateApril 4, 2024

Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration

NPPES CertifiedOctober 28, 2025

✔ NPI 1851143523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

939 SPRINGDALE DR, Clinton, SC 29325

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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 BlueCross BlueShield of South Carolina, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 10

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

CATHERINE M KEARON PMHNP

Nurse Practitioner (Psychiatric/Mental Health)