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Lifesource of North Carolina

General Practice Physician in Rome, GA · enumerated 2017 · authorized official Peggy Baddour, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962940817

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Registry record

Entity type Organization (Type 2)
Legal business name Lifesource of North Carolina
Other name <Unavail>
Parent organization Lifesource of North Carolina
Practice address 1345 Redmond Cir Nw, Rome, GA, 30165
Phone (910) 742-9243
Fax (888) 746-1787
Enumeration date Feb 10, 2017
Last updated in NPPES Mar 26, 2021

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Peggy Baddour
Title President
Phone (910) 777-9165

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Lifesource of North Carolina?
Lifesource of North Carolina is registered in NPPES as a General Practice Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-26.