LIFESOURCE OF NORTH CAROLINA
NPI 1972861789
General Practice in Clinton, SC
About Lifesource Of North Carolina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESOURCE OF NORTH CAROLINA (NPI 1972861789) is a healthcare organization registered as a general practice in Clinton, South Carolina and active in the NPI registry since April 2012. The organization maintains a secondary practice location in Chapin and lists Peggy L Baddour, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Secondary Practice Location 1
Other Identifiers 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
51Medicare enrollment records show 51 clinicians reassign Medicare billing to Lifesource Of North Carolina, which bills Medicare for the services they deliver. Of these, 6 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 51Source: 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 1972861789. It was assigned to this organization in the NPPES registry on April 30, 2012.
Where is Lifesource Of North Carolina located?
Lifesource Of North Carolina is located at 939 Springdale Dr, Clinton, SC 29325. 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), 51 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 (22), Mental Health Counselor (10) and Clinical Social Worker (7). Of these, 6 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 from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Cigna Healthcare and 2 other insurers 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 May 17, 2022. 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 1972861789
General Practice organization in Clinton, South Carolina. Organization record, active in the CMS NPPES registry since April 30, 2012.
## Identity
- **NPI:** 1972861789 (Entity type: Organization)
- **Enumerated:** April 30, 2012
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Peggy Baddour, PRESIDENT/OWNER
## Practice location
- **Address:** 939 SPRINGDALE DR, Clinton, SC 29325-7266
- **Phone:** (910) 742-9243
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 51 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (22), Mental Health Counselor (10), Clinical Social Worker (7); 6 practice at this address; [full list](https://npiprofile.com/npi/1972861789/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2022
- **Other identifiers:** Medicaid GP5917 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1972861789) · Data from the CMS NPPES public registry.